22206_KNWOLES, H M_19990524

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CAMA AND DREDGE AND FILL r�
GENERAL A 101 22f206 �" C
PERMIT a
^ 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
3 t/
Applicant Name 1 �, 1 `C� CC- ` Phone Number �%�
Address,. i 0 1''"f ►� e ,
City L7e;'1A Ora , State Zip .30
Project Location (County, State Road, Water Body, etc.) �? ! " "� (�; 4�4
Type of Project Activity 514 "4 Cj 1'e 1 ') /D
PROJECT DESCRIPTION SKETCH (SCALE: )
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
1 _
rCv S
Lam'"
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.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
I��'
v
............��� �1
issuing date expiration date
attachments zt' L A / 2 ! —. / d z�)e �
application fee � C, jc",

SHELLFISH 2O00
421 CEDAR POINT BLVD. PH. 919-393-7777
SWANSBORO, NC 20504
2131
t� 66-85/531
PA,' 10 T1 I F G Al Jj 379.off'
kf�
CENTURA BANK
1` ^ ROCKY MOUNT, NC 27802
II'0000 2 L 3 LII' i:0 53 1008 501:0 M 20 27 L 3911'

r
MAY 21 '99 09:51 FROM LAN-41AN NETWORKS TO 9125239362es PAGE.001
I®*Mid 5£ZL�ZI ZT:60 Erb, Oe Auw
ADJACENT RMARIA N PROpERTY ()WN t nAj l''�
(FOR A PIFRI.AfOORING PtL)7VG"40AnjFT/B0ATX0USq
hemby celtifir that I own property adja=t to X/ . &�
f 1�F�nae of hwex-6 s
property locwd at
U4 BWJk, Roads efr—)
Oil we�tr] in Jj!Zm C04z r mc-
(W'2urbody) (Town andfor County)
Ik has dcscnlvd to me, as shown blow, the devdapmrnt he is pmpo,.4"g at that
l x'ation, and, I gave no objections to his proposal. t undastW that a pier/mW ing
¢t w boa Ouse mnsi be set bae7c a minimum dish of fifGcen fect (15' from my Uca
of ripazian access unless waived by tnc,
_ I dQ 201 wish to waive the aed=k ragair=cnh
I 4Q wish to waive that Eck mquin meat.
DF-SCRIMON AND/CAR DRAWING OF .FROFOSF.D DEVEW T:
(TO btAled in by iuWdiad proposing deve&pnem)
;Y
3C13_ .777 ? Pnnt
or Type Name
9/ 9 a s"y s0.27(&)
TeLe-phone Numbcx
Date: � a- I Ag'q
. _. , iJE� ;6t 66, as •.yaw _
* TOTAL PAGE.001 x*

- - - I lrl I 1`-/ 7-1 1CJ• CJLfI! , tlL, - - - - - - - - - - - - - - - - -- - - - - - - - - - y . - -
ADJA CENT RIPARIAN mopERTx owNFR STATEmENy
(FOR A PI'LRIMOORING PffffGS/B0A7UFT1B0ATH0U5E)
I hereby certify that I own property adjacent to A A7 t.;,,�
(Name of Property Owner)
property located at
(Lot, Block, Road, etc.)
on l /
13Aa �r . ostfJ �.*- I�f'lQ 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 (I5') from my area
of riparian access unless waived by me.
I do not wish to waive the setback requirement.
_ I d4 wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEYEZ,OPMMN'T:-------
(To be filled in by blavUnd proposing, development)
Signature
Print or Type Name
919 - .sue'/- 3 a6
Telephone Number
Dater /