21039_PHILLIPS, GEORGE JR_19981102

CAMA AND DREDGE AND FILL
GENERAL A.
O 03g - C.
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 12 Phone Number
Address i t/ C �L-
City State Zip
Project Location (County, State Road, Water Body, etc.)
f.,
Type of Project Activity v �7 "•
�e7 Z/� ! ' Z
PROJECT DESCRIPTION
SKETru
Pier (dock) length �rl
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
�J - 0 � ICCA1 F•
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.
M
applicant's signature
' permit officer's signature
issuing date expiration date
attachments 4 e, / F / '7 f � 'n
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
application fee f�• >!� Gj r /��^ ;/

.:.._
ELTON W ELLIS JR
=:_NCDL 1855620 PH 252-504-3161
-1384 MERRIMON RD
_BEAUFORT;_NC 28516
Pay To The \� j
Order Of
Wa chovla Bank, N.A.
N.A.
Pine Knoll Shores, NC 28557
Memo
M3LOL5I: 5LL7L3Slim L71A
-.L-0 1992
= 1764
p 66-152/531 CC
19
is sa��
e) C�
Dollars

OCT- 2-98 FRI 4:12 PM CLEGG'S TERMITE & PEST FAX NO. 9194775722
SEP-ZG-1998 FRI 10a53 In: TEL:
P. 2
Plot
ADJACENT RVARLAN PRQPII2TV OWNM STAT T
(FOR A P.iRRIMOORiNVG plf.]NGS/ROAZVpT/BOATf 0VW
I hereby ceT* that I owls property adjacent to r
`5
ame of phrupe rj
XWerly located at „
_ try�Bk,��]Rko;aad, /j0,01
on � =n-�4
(Waterbody) 0N.C.
(iwn and/or Caunt
He has described to me, as shown below, the development be iS proposing at that
lacatim, and, I have no objectioag to his proposal_ I understand that a pier/mooring
pilingstboatUftlboaftuse must be set back a mWmum distance of fl&en feet (15') from my area
Of riya6an access unless waived by me.
I o t wish to waive the sethac> regvlrement.
-- I &r wish to waive that setbactr requirement.
DESCRITMON AND/OR DRAWING OF PROPOSED DEVELOPNIMt ------ -
(To be jiffed'R by indsWUd propoying development)
3'
1gn�t�Ir
Print or Type Name
Telephone Number
Date: 1 a -- 2� I g

SEP-26-1998 FRI 14:26 ID:MACK BAKER CONST.00. TEL:[phone]SI P:01
A
FRI 1312J Iu, itL: P101
A
ADJAMEW HIPARMN fttipERTY ()WNER S'T'ATEMM,
(FOR A P1'MMOU1UM PXX.1'NC'S1,9cMAjvFT1fiOATHOUSp
r
1 h9mhy Mr6fy that I Mi plt4"Aly tkdjacent t« ' 'y
a7Oi.' of Pro�ie -' O -
(Late ek Rawdp etc.)
t dY) (Town andfoir cony)
lie has dexdbcd to ift, ea shi,wn hclaw, th:~ dc-irelupment hC is proposing g that
kmation, and, I ha'vo im c =fioas to hiar y x;Vuuj. I nnda±MMd that a plerlmow ing
pxliA9sl uu lM/boat Kxw miult br, act backa winhauiii distance of fif ift fib (131) ftm my urca
of 4padan areas w&SH WAfvpd by Mr.
I dRiLot vrttgh to waxr►e tho wilwtek relquitleriraltt.
_ I ,9 wish to waive awt setback: "utrement.
IC.tit YPlZI11�f AWOR 1)9AWING Ok pRo po g= DyV1F W M TS
t'Te at f fk'to by Wivi&al ympaliks deydemeatj
I
1 r
r
I'Aut ur Type Name:
Ifelepholic Number