21531_OSGOOD, SUSANNE_19990412

,.. ..au.awv; �acx �.. ..�..s-�,-� .r: s:,��n-•,..:,Y---"�-f�x��a-.-v.�€ � ---��.,- — ��__z::P
1
CAMA AND DREDGE AND FILL
GENERAL 021531 - L
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 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
i`�k.._ �Li' 1. ,..� �4<� �'1=..� 11 i � ...
rti�'4zLt; (v.a
,-...-^-�.,, "�� �d,i
C„�J-•� . �—„`�-,.'_'..- . 1
Groin length?�'C?
1,:Gr.f
number
Bulkhead length
fB
♦
max. distance offshore
I
j
Basin, channel dimensions
cubic yards
J �
r
4 1tu
7
II
ti0 ter �v'
Boat ramp dimensions
UF'C.
Other
`t
I
V
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.
applicant's signature
permit officer's signature
i = Ali L �5 2.tl rt
issuing date expiration date
attachments 01H, I .JGD
In issuing this permit the State of North Carolina certifies that H C�
this project is consistent with the North Carolina Coastal application fee !?`� W
Management Program.

COASTAL MARINE CONTRACTORS, INC.
P.O. BOX 12729 PH. 252-638-6407
NEW BERN, NC 28560
PAY
TO THE I 1
ORDER OF
DQ
01901 7�71
4958
DATE /
L�- �L rn� 9 �1 66-112/531
G6
$S Q
-DOLLARS B
BRANCH N INCNO T-T C-A.,
375SOUTRONT STREET
NEW BE NC -------
FOR
ii 000049 SBii' i:0 S 3 10 1 1 2 1': S 1 10 1 1 2698ii'

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGS/BOATLIF IBOATIIOUSE)
I hereby certify that I own property adjacent toS(A 5A.A) Je- Ocr, 6, is
(Name of Pr erty Owner)
property located at e" ' ' lde D(z • A (Zq p rlk a e
�, (Lot, Block, Ro d, etc.)
on _1Jsf,F'� Y� ICt� Co, , 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 (15') from my area
of riparian access unless waived by me.
V I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRA«'M OF PROPOSED DEVELOPNTENT:
(To be filled in by individual proposing development)
13 x 30,,,�4�+�se,
5` X A-4
-----------------------
ci
T
1
�L A
N
ff
-7a.X5 WRIkwwj
Il ,
a. +1e�Po(cs
----------------------------------
a sv�
r
Signature
A nrna, B 1'55e i,
Print or Type Name
aqq - 1191
Telephone Number
Date:

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGS/BOATLIFTIBOATIJOUSE)
I hereby certify that I own property adjacent to SuS ArNP, CAS 6>o4 's
(Name of Pro y Owner)
property located at 39 CkPO" k� A,
afe_,�
(Lot, Block, Roa , etc.)
on fc(� , in nirh tc,� 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 (15') from my area
of riparian access unless waived by me.
_ I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRA«'LtiG OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
0jA
S
e%%19r-�/ )6 /N,���
Print or Type Name
Telephone Number
Date: q