21419_KENNETH DANIELS TRUST_19990203

CAMA AND DREDGE AND FILL ��(ff
GENERAL 1`�v' 021,41.9 C
PERMIT _,71
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 � � 'S's'►" -P � �` ri 4'�` �� ! I r "1 !J 5 '�- Phone Number) 4 2
Address i 6' 5 c"G I% l �.—s 1y.•
City y� f^ter, /< State zip
Project Location (County, State Road, Water Body, etc.) t n ­7 _j �° . 7 r �rj el
Type of Project Activity �� a �'� "7 t •� �� 7
PROJECT DESCRIPTION
Pier (dock) length
Groin length
SKETCH � i t j
i r
number
Bulkhead length
�r
4 w.
v.,
max; distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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.
(SCALE:
1-7
applicant's signature
permit officer's signature
issuing date expiration date
attachments xt- C A c / �) / d e w
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
application fee' G� Q

50 + KENNETH W. DANIELS
PH. 919-225-7631
CLUB 1053 SEASHORE DR.
ATLANTIC, NC 28511
PAY TO THE
ORDER OF ,
66-7538i2o3 1465
19�
DOUUS
Laoh for: Micro Print sigr{dt$if? We,,-6 a type and linewor n fie freint and ' s! lig. t logo on back. If not present, do�Ch.
First F�hght�
1208 East Main Street 1
Havelock, N.C. 28532
FOR---
1:253 L?5384': L080034065030 L465

•ItnuCrs: I also wish to receive the
■Complete items 1 and/or 2 for additional services.
■Complete items 3, 4a, and 4b. following services (for an
■ Print your name and address on the reverse of this form so that we can return this extra fee)'
card to you.
■Attach this form to the front of the mailpiece, or on the back if space
permit.
■ Write'Retum Receipt Requested' on the mailpiece below the article
■The Return Receipt will show to whom the article was delivered Old
delivered.
3. Article Addressed to:
Or
1- G 70
5. Received By: (Print
6. Signature: ( d)se or,
X
PS Form 3811, Oacember 1
ai
does not 1. ❑ Addressee's Address
number. 2. ❑ Restricted Delivery
the date
Consult postmaster for fee. °
4 rticle Number (U
s 7 �S cc
4b. Service Type
❑ Registered Cam+ certified cc
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❑ Express Mail ❑ Insured E
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❑ Retum Receipt for Merchandise ❑ COD a
7. Date of Dervery
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S. Addressee's Address (Only if requested c
and fee is paid) r
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eturn

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15:36 FAX [phone] FWS R4 REALTY
Z 002
DIVISION OF COASTAL MA.NI AGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual applying for Permit: K E NON F.T R W A Y N E—D A N i E L S T R Tt S T
Kenneth Wayne Daniels, Trustee
lox's 750 Lola Road
Address of Property:
Cedar Teland, N.C. 28520
(Lot or Street #, Street or Road, City & County)
I hereby certify that I own property adj Scent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
V_ I have no objections to -:his proposal.
If you have objections to what is bEing proposed, please write the Division of Coastal
Management, Hestron Plaza II, 151-B, }twy, X Morehead City, NC, 28557 or call (252) 808-
2808 within 10 days of receipt of this not,'ce. No response is considered the same as no objection
if you have been notified by Certified Mail.
W_=.IVER SECTION
_ _f, r,,�� hzgZlCwatt r. hnat hour lift or sandbags must be
..� ldt-ob.eK'a mintrrium stance of i�' li om my area of riparian access unless waivea Dy mc. fir you
wish to waive the setback, you must initial the appropriate blank below,)
I do wish to waive the 1 Y setback requirement.
I do not wish to waive the 15' setback requirement.
Cif—�s
JtQnature —r—U / Daatte
Print Name
ez
Telephone Dumber With Area Code

OUT, ! 1• ► • J • • �.
- - � - - � - - - - ��� �..� I
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual applying for Permit: K E N N E T Fl W A Y N E DANIELS TRUST
Kenneth Wayne Daniels, Trustee
Address of Property: 725 Lola Road
Cedar Island, N.C. 28520
(Lot or Street #, Street or Road, City & County)
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
/-
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, Hestron Plaza II, 151-B, Hwy. 24, Morehead City, NC, 28557 or call (252) 808-
2808 within 10 days of receipt of this notice. No response is considered the same as no objection
if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be
set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you
wish to waive the setback, you must initial the appropriate blank below.)
v I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
6fo
S r atuje ate
4d
Print Name
C�5�-��- 1�13
Telephone Number With Area Code

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LLOYD GOODWIN HEIRS
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LLOYD GOODWIN HEIRS
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