18531_DEBHAM, MIKE_19980515

CAMA AND DREDGE AND FILL c��
GENERAL
v_
PERMIT Z_�w
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
Applicant Name Phone Number
Addres
City State Zip
Project Location (County, State Road, Water Body, etc.) Ct 1 "Q
Type of Project Activity
PROJECT DESCRIPTION I SKETCH;-\-
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin,y-, a l dimensions
cubic yardsVd
S3
Boat ramp dimensions
Other
/f/:cCC 7o J� .�i�C^avc17cG1 y C . 4 � ,• +-
01 ; ,
(SCALE:
' p it/"/� �pt]9 yr I
* �✓o,�s "k0> t ho�
n�-PXC�egl -6 ��1C
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine, �'
applicant's signature
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.
attachments
issuing date
permit officer's signature
expiration date
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee
Management Program.

OUTER BANKS MARINE CONSTRUCTION
P.O. BOX 1988 BB&T 3494
ATLANTIC BEACH, NC 28512 BRANCH BANKING AND TRUST COMPANY
[phone] MOREHEAD CITY, NC 28557
66-112/531
PAY TO THE ORDER OF D.E.H.N.R.
5/11/98
$ **50.00
Fifty and
DOLLARS
Security features
E.H.N.R. 8 included.
Details on back.
c.i
G_
V MEMO Permit For Debham jobNp
Gam- $S3
118003494n' �:0531O112L�:L23�OL5295u•

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ADJACENT RIPARIAN PROPERTY ORNER STATENMM T
(FOR A PIERIUNCOVERED BOAT LIFT)
I hereby certify that I own property adjacent to lkj�2 0'/Z 004f d .V AIVKV ,s
(Name of Property Owner)
property located at 1;12 Z)I,9TN S rX JAiC- 47-1 T- c Al e"ge. #
(Lot, Block, Road, etc.)
on G� 4-,A)4 I- in 4 r 1RV Tl G
N.C.
(iVaterbody) (Town and/or County)
He has described to me, as shown below, the development he is proposing at that
location, and, I have no obj�--tions to his proposai. 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 re--uirement.
I do wish to waive that setback r uiremel
-------------------------------------------------------------------------
DESCRIPTTON AN-D/OR DR-AWT G OF PROPOS
(To be filled in by individual proposing d e
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1 Telephone Number
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Date:

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIUNCOVERED BOAT LIFT)
I hereby certify that I own property adjacent to /" �•1� ei Ae s.14 's
(Name of Property Owner)
property located at
on G` 4-AJgL
(Waterbody)
(Lot, Block, Road, etc.)
in ZxAV,# , N. C.
(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.
V I do wish to waive that setback requirement.
---------------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
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Print or Type Name
9)I - ?.?y ".2
Telephone Number
Date:
QOsX»

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIUNCOVERED BOAT LIFT)
I hereby certify that I own property adjacent to /)I O"%Z 4 'ee S AIA" 's
(Name of Property Owner)
property located at *Z4,d TN 5#Dr4. j0ic j47-AV /T e-
(Lot, Block, Road, etc.)
on G rJgC. in V T 2,PV7-,-e.
(Waterbod) , N. C.
y (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©oex
I do not wish to waive the setback requirement.
Y I do wish to waive that setback requirement.
-------------------------------------------------------------------------------------------------
DESCRIPTION AN-D/OR DRAWPG OF PROPOSED DEVELOPNMNT:
(To be filled in by individual proposing development)
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Telephone Number
Date:
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