22297_KOURY, ERNEST AND JIM DAVIS_19990615

70CAMA AND DREDGE AND FILL @
GENERAL �N 222'9 i .
) PERMIT
as authorized by the State of North Carolina
ff✓� Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC
Applicant Name 't Phone Number
Address
City State zip
Project Location (County, State Road, Water Body, etc.) '
Type of Project Activity
PROJECT DESCRIPTION SKETCH (SCALE: )
Pier (dock) length
Groin length
number -
Bulkhead length
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.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
attachments
application fee
A
applicant's signature
permit officer's signature
issuing date expiration date

P.
PAY TO THE
ORDER OF_
c
JAMES M. DAVIS
PATRICIA S. DAVIS
NCDL 2501593
O. BOX 5223 PH. 252-354-3341
118 A SHORERUSH
EMERALD ISLE, NC 28594
4.� /e,
�= Centura Banks.
Cape Carteret, NC 28584.�;��•,Y�
MEMO 1T wa a 1� ✓ sa�1� j 1 —
l:0 5 3 1008 50l:0 280 LOG 913116
66-85/531 2599
0280106933
DATE
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DOLLARS B„m,
2599
ST

SENDER:
W ❑ Complete items 1 and/or 2 for additional services.
N Complete items 3, 4a, and 4b.
❑ Print your name and address on the reverse of this form so that we can return this
card to you.
j ` ❑ Attach this form to the front of the mailpiece, or on the back if space does not
y permit.
r ❑ Write 'Return Receipt Requested' on the mailpiece below the article number.
c ❑ The Return Receipt will show to whom the article was delivered and the date
p delivered.
p 3. Article Addressed to: 4a. Article N
d
j
I also wish to receive the follow-
ing services (for an extra fee):
1 ❑ Addressee's Address
2. ❑ Restricted Delivery
4b. Service Type
❑Registered
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❑ Express Mail
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7. Date of live
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5. Received By: (Print Name)
8. Addsee's A
fee & paid)
3 6. Si gna ( e or Agent)
0
PS Form 3811, ecember 1994
P11 ertified
❑ Insured
❑ COD
'eauested and
102595-99-s-0223 Domestic Return Receipt

UNITED STATES POSTAL SERVICE First -Class Mail
Postage &Fees Paid
j LISPS
Permit No. G-10
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y m e, address, and ZIP Code in this box •
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SENDER:
f .N ❑ Complete items 1 and/or 2 for additional services.
N Complete items 3, 4a, and 4b.
0 Print your name and address on the reverse of this form so that we can return this
card to you.
ys ❑ Attach this form to the front of the mailpiece, or on the back if space does not
permit.
❑ Write "Return Receipt Requested" on the mailpiece below the article number,
❑ The Return Receipt will show to whom the article was delivered and the date
o delivered.
3. Article Addressed to:
�a
E 1415
0
U
W
g
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5. Received By: (Print Name)
KD
oy' i atur 6. 5e (Address e or Agent)
I also wish to receive the follow-
ing services (for an extra fee):
1 • ❑ Addressee's Address
2. ❑ Restricted Delivery
4b. Service Type /
❑ Registered p� \,�l Certified
❑ Express 1��`�❑'—Insured
❑ Return ce�f f6r Merchandise ❑ COD
7. Date o Deli
d c, .
8. Addres e ' Address (Only if requested and
fee is pal, \
, December 1994 102595-99-B-0223 Domestic Return Receipt

UNITED STATES POSTAL SERVICE
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
• Print your name, address, and ZIP Code in this box 0
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Adjacent Riparian Property Owner Statement
I hereby certify that I own property adjacent to t' n s - Ka U r
(name of applic nt)
located at "i0 Ara 56 L� ti Emerald Isle, N.C., on Bogue
Sound.
The applicant has described to me, as shown below, or attached, the development
oeing proposed at that location. i have no objection to this proposal and i understand
that the 15' area of riparian access cannot be waived for this project.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be completed by applicant)
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Riparian owners statement
Signaturey—,
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Print name J OA ry V, (yl ER tC-T'
Phone ( Z�X) 9
Date — 1
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