19970_GLENN, ALLEN_19980729

C E MA AND DREDGE AND FILL
GENERAL ���✓ /,
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_
PERMIT > 1.�2
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
Address
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION SKETCH C
Pier (dock) length' '
� 7
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
Phone Number
State Zip
i
On
J_ Jr
r
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
j' 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.
(SCALE: )
applicant's signature
permit officer's signature
issuing date expiration date
If
attachments
application fee

STATE EMPLOYEES' CREDIT UNION MONEY ORDER
MOREHEAD CITY BRANCH
REMITTER Robert Johnson Marine Const.
PAY TO THE **DENR**
ORDER OF
July 27,
3858
1998 66-7704 / 2531
$ 50.00
DOLLARS
�........ .._ _ ..... iZ- b77
StatEmployees' Credit Union VOID AFTER 180 DAYS
Morehead City, North Carolina , �_)
62 � 1 �k14 (/��
AUTHORIZED SIGNATURE
II■00 38 58Ci' 9: 2 5 3 L 7 70 4 91:01360 4 300 38 5V

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to / s
J� / /% (---1) (Name of Propoty Owner)
(Town and/or
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
puings/boadift 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.
V I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
Telephone Numb r
Date: A — 7

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to
property located at
(Lot, Block, Road, etc.)
N4?T"wN s
(Name of Property Owner)
on bNOV �f S7[ uDd in N.C.
(Waterbody) own and/or Count �y( N,L
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.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPT:
(To be filled in by individual proposing development)
aTV70
Signature V
,F7Z
Print or Type Name
-3 -- 7 yob<a)
Telephone umber
Date:

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