22205_MERCER, JIMMY_19990524

CAMA AND DREDGE AND FILL
GENERAL li0 22205-'c-
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission VV""
in an area of environmental concern pursuant to 15A NCAC
Applicant Name
Address
City /)l
Project Location (County, State Road, Water Body, etc.)
T)�pe of Project Activity
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PROJECT DESCRIPTION
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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State
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Phone Number,%'
_ Zip rr' '71 `� 7
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SKETCH IU
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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-
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.
ds'f,
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1 � applicant's signature
permit officer's signature
1 y_ `75 S
issuing date expiration date
attachments / /� (�—
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee
Management Program.

JIMMY MCCALL MERCER
PH 919-240-0819
PO BOX 1647
MOREHEAD CITY, NC 28557
mDJ�
1144
66-152/531
DATE-5 /
Wachovia Bank, N.A.
Morehead Cily, NC 28557
FOR mi�1:053 10 LS 291: 5469 L2 BLit,
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-"DJAU�N T WPA UN PR.OPER'i'Y OWNER STATEMENT
(FOXY A PIERIMOORING P9INGS/B0AYLrFT/B0ATH0USE)
I hereby certify that I own property adjacent to
-3
fN a of Property Owner) s
Property located at
(Hot, Block, Road, etc,)
n (�Waierbody) . in
N. C.
(Town and/or County)
He has described to me, as shovm below, the development he is proposing at that
location; and, I .have no objections to his proposal. I understand that a pier/mooring
Pilin85/11oadift/boathouse must be set back a minimum distance offifteen feet (I5') from my area
of riparian access unless waived by me.
I .d2._t o wish to waive the setback requirement_
---4 T A2 wish to waive that setback requirement.
DFSCR.IMON AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by. indiv&zr al proposing developme a)
Print or C�ypeName
Telephone Numb r '��� / e
Date:

(FOR A PIERIMOORING PJUN'GSIMATL.ITTIROATHOUSE)
I hereby certify that I own property adjacent to _ �^�lnM 4 MC&—er-
s
C� l (Name o Property Owner) _
property located at
(Lat, Block, Road, etc.) '
on ) d C� in _ CQ�(;�C�'� 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. Z understand that a pier/mooring
pilings/boatUfVboathouse must be set back a minimum distance of fifteen feet (15') from my area
Of zipan'an access unless waivers by me.
v _ IdQ uOt wish to waive the setback requirement.
AQ wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PR
QPOSED DEVELOPMENT:
(To be filled in by indzvidzcczl proposing development)
:C�
Signature —
Pri�or"�N�ie
Telephone Number
Date: