16932_WHITE, BILL_19961108

CAMA AND DREDGE AND FILL
GENERAL Diem
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC
n �
Applicant Name �� j �' i Phone Number
Address J
T,
City %? �+ °! �, State °2`lir
Zip , % 47
Project Location (County, State Road, Water Body, etc. ) `r ; ° " �� t"� �� 7 •f��?
L 4 y �,
7 �
Type iif Project Activ,ityy '�- r r i s ' /
y" �, . �, i -, �� i .r .� ( � ,� L '� �. � !�- r• � i t 't 1 .r t
.e X,
.G v.. 7 r %, 1 /t /1-
PROJECT DESCRIPTION SKETCH r fit, /�� (SCALE: }
Pier (dock) length / ' !^ �..
Groin length
number
Bulkhead lengths _ f� til
1 __
I
max. distance offshore aa �
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Othe . y ' ' " '. `...- —•s" bF �+
77
Thispermit is subecCto compliance with this application, site
P jP PP
drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine, —
imprisonment or civil action; and may cause the permit to be-
come null and void.
This permit must be on the project site and accessible to the
permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that 1) this pro-
ject is consistent with the local land use plan and all local
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
objections to the proposed work.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
61
9
-( r
__ _
applicant's
permit officer's signature
issuing dateell
expiration date
attachments A/
applicatiAe � , e, 4- U-- "

OUTER BANKS MARINE CONSTRUCTION
P. 0. BOX 1988 PH. ATLANTIC 25
BEACH, NC 28512
PAY �—
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02
Post Office Box 1988, Atlantic Beach, NC 28512
[phone]
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OUTER BANKS
MARINE CONSTRUCTION
DOCKS - SEAWALLS - FLOATING DOCKS
Dealer for Davit Master Boatlifts
cam"
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OUTER BANKS
MARINE CONSTRUCTION
DOCKS - SEAWALLS - FLOATING DOCKS
Dealer for Davit Master Boatlifts
cam"
0�1
01

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I I'M 519 PL1:3 APR 23 1S5 : !J:U2
A:.} ' t��t'� � P OI' CY �ti FR SrrXi- njpN--
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I hcr(by c-e,rt fy umi i o�vn prope;-ty aa.,1 .;ant ,o �0 — U-10 im-- - _-- 'S
(Name of Property Owner)
property Ic End Ited at- .�� w_ _ ��� . a
t _ -,A, Rm 1, etc.)
Yaterbc Jy) (7 own and/or, County)
He, -..a; desedl red to in,,� as shown 1_.e!vx, he d, velopment he is proposing at that location,
r nd, .l have n o objm ions tca'-is proposal. - �- �^ e_rc��r �,,,s�,', � ��'� �-<_ ��� I_e -
t
.dc. __�K _ ram_ _
D1ESI-IUVY ON AND/OR DRAWLt-t,, OF PROPOSED DEV"Ex. 'YPMENT
( V'o be ft4d in by ia-dividu d pr jvszng devvIopment)
Sil nature —
Pr i ` or Type 'Name �
6 -�M 4
Te -phone Nuriber
i k3 1 A is L'r S 6L_E 61 E+ 33 I AAO " 3N I NH I k 1H5 r I Wd fiti : RPI Nt S

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ADJACENT RIPAR]AN PROPERTY OWNER STATEMENT
(FOR A PIERIUNCOVERED BOAT LIFT)
l
I hereby certify that I own property adjacent toYFD 's
(Name of Property Owner)
property located at C,
, Block, Road, etc.)
i
on _ r 7 C �� , in �� ��b� � , N. C.
te —(Warbody) (Town and/or County)
He has described to me, as shown below, the development he is proposing at that
location, and, I have no objections to his proposal. I understand that a pier/uncovered boat lift
must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless
waived by me.
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
ass
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
Mot6
\ • Si.nCtfe�=�h
v T r7
PPf nt -or TypeName
\1 Telephone Number
i Date: ���

Permittee's Name
Location:-ter�}�(�
Phone:
Description of Project:
Date Project Reportedly
(1)' Do the measured dimensions of the development differ from those
indicated in the permit .and rkplat? Yes / o Have all permit
conditions been satisfied? e / No
COMMENT:
(2) Sedimentation and Erosion Control: Has permit= e seeded, grassed,
or otherwise stabilized all disturbed areas: e No
COM=NT :
(3) Future Monitoring and Tnfcrcement Ac Is'further investigation
or enforcement action needed? Yes /
COMMENT: