22392_MATTHEWSON, JERRY P_19990701

CAMA AND DREDGE AND FILL
GENERAL
rig blep
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 r`.^; Phone Number
0flflrAcr
City State
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
Zlo
PROJECT DESCRIPTION SKETCH (SCALE:
Pier (dock) length
Groin length
.> 13r . ITT
number L 1 ( i"- I
Bulkhead length
_� I ,(r (..>r`� �k. •t. L 4t"''-. 1J�1`i ! �+i\ �-N^ � f� T1-
max. distance offshore
Basin, channel dimensions , \ 0_0 ,
cubic yards ( \\
r
Boat ramp dimensions
Other
l Gi �`✓ irC3 1 -71
2_�
This permit is subject to compliance with this application, site I/ f
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.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
permit officer's signature
I CX7, 4_1
issuing date expiration date
attachments"�—
CLi
}. � Z
application fee co

HODGES MARINE CONSTRUCTION ss 30/472 962
NCDL 1999167 PH 252-745-7018
55 BAYSHORE RD Y
MERRrr-r, NC 28556 Date
Pay to the
Order of
FFIRS CITIZENS-
`BAjj A Aj (r , st; i77m Bank 6 Trust C
� i� O iental, N.C. 28571��
For
1:053L
ocran,. a�..rrah
GUARDIANoO SAFETY BLUE W BL

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIUNCOVERED BOAT LIFT)
I hereby certify that I own property adjacent toJ LR:E M IMI P-
A i N E"Jsvx/ 's
(Name of Property Owner)
property located at '2 � S ---,) A 0 0
(Lot, Block, Road, etc.)
on j R tAQ—i Oy i�- B UXTU in 9S b I , N.C.
(Waterbody) (Town and/or County)
�4ML-(cID e_oULO)
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/uncovered boat lift 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.
�1 I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
Print or Type Name
;7
Veep one Number
Date: 6 .Z6 ` 9 7
—30—

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/UNCOVERED BOAT LIFT)
I hereby certify that I own property adjacent tom CRc Ntu9�`DL) 's
(Name of Property Owner)
property located at S 9 S. �.� S� I S S CS
(Lot, Block, Road, etc.)
on
C�K- �n ►(Yl C—R I �; �C� Z`gS�(o c'� , N.C.
( aterbody) (Town and/or County)
PAMciC9 C a jo
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/uncovered boat lift 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 dR wish to w�_ive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filed in by individual proposing development)
Sig re
r 1�j
Print or Type Name
Sz 2-73
Telephone Number
Date: 6 50 7 -7
—30—