19614_ESSICK, DONALD_19980921

CAMA AND DREDGE AND FILL
re
GENERAL F !A614 ,_,,,c-
PERMITt�
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
r Applicant Name Phone Number
Address
City State Zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION
SKETCH ' L ,%��/
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Pier (dock) length
1
Groin length
a
number
Bulkhead length
Lp fi
max. distance offshore
Basin, channel dimensions
1f '
cubic yards
_ y
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Boat ramp dimensions
Other
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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,
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.
j
oL.C.•- c
applicant's signature
permit officer's signature
attachments
issuing date
expiration date
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
application fee

DONALD G. ESSICK
NCDL 1074561
STAR RT 54-A 919-393-8419
SWANSBORO, NC 28584
1488
66-152/531
ORDER THE
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e mcivaen �enwae
DOLLARS
�TACHOVIA "
Wallovia Bank of North Carolina, N.A.
Morehead City, NC 28557
FOR
t:05310L529: 5463 L8907611' 1488

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSIBOATLIFTIBOATHOUSE)
I hereby certify that I own property adjacent to ',I) A,,, p,L � r, , cj<' is
(Name of Property Owner)
property located at I -
(Lot, B16c1#, Road, etc.)
on I�\� l.?El� 4 na�< 2wf In P�-Lf i✓ C N.C.
(Waterbody) (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/mooring
pilings/boatlift/boathouse 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. S t P 16 19 ,"
x I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
0
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F—/fl�
1C!��� Signature
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Print or p. Name
4�
Telephone Number
Date: / j/- y ff,

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSIBOATLIFTIBOATHOUSE)
I hereby certify that I own property adjacent to .) c :, 1,1 L—� S ; G -� 's
(Name of Property Owner)
property located at /v 9 �� e �a v a , /V /
(Lot; Block, Road, etc.)
on i` /� it K,,- /�,✓�,�in � ,`-i CCG r't�t ^ 1` ���,�� �- N.C.
(Waterbody) 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/mooring
pilings/boatlift/boathouse 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. S E P 16
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
Signature
/�J��\�
it / i),J � A IZ
Print or Type Name
C/ 7(� -
Telephone Number
Date: ! e, Z/ ' 7(

160
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