18524_GOODWIN, BOBBY_19980223

CAMA AND DREDGE AND FILL /V
GENERAL �
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
Applicant Name '''�oebPhone Number
Address
City State Zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION I SKETCH r . f
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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(SCALE:
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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- applicant's signature
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
permit officer's signature
issuing date 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.
f

Permittee's Name v Permit (n
Location: S Field Rep.
Phone: — ?2��� Date of Report:
Description of Project:
Date Project Reportedly Complffete: of
(1) Do the measured dimensions of the developm iffer from those
indicated in the permit and kplat? Yes / No Have all permit
conditions been satisfied? �/ No
1. COMMENT:
(2) Sedimentation and Erosion Control: Has permit.-e seeded, grassed,
or otherwise stabilized all disturbed areas Yes / No
COMMENT:
(3) Future Monitoring and nforcement Act' . or enforcement action needed? Yes / No
COMMENT:
Is'further investigation

MIKE NOE CONSTRUCTION
PH 919-728-3828
PO BOX 586
BEAUFORT, NC 28516
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to ADodW,N 's
(fiame of Property Owner)
property located at ;�6W-� e�/�c�X (✓1 /� /1"l� ,
(Lot, Block, Road, etc.)
on _ 7.4 i/A2 in ill l �, / , 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
piling s/boatlift/boathou se must be set back a minimum distance of fifteen feet (15') from my area
of riparian acce s 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 DEVELOPMENT:
(To be filled in by individual proposing development)
NW A
Pu/e
Print or Type Name
��,3 /Z ——
elepho e Number
Date:

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to
property located at
on
(Name of Property Owner)
(Lot, Block, Road, etc.)
, in
(Waterbody) (Town and/or County)
's
N.C.
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 DEVELOPMENT:
(To be filled in by individual proposing development)
Signature
Print or Type Name
-1 2-�/ - 5 (3 �)
Telephone Number
Date: I 1