41332_BENTON, RAYMOND_20050415

07/01/2007 11:41 2526391702 DUCK CREEK MARINA PAGE 03
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Previous permit #
'Partial Reissue
M6 .1cat 13 Con p I et-6 Ref s!�u e
V permit Issued
Date previous perrnit Issued
Ont.of Environment and Natural Resources
and'tiiaI i* n. area �f (iworimental concern pursuant to I SA NCA(t
K",
Project Location, County
'XI A
Street Address/ state Road/ Lot #(s)
V IC fl
Subdivision
City—_..'
ZIP
''Affected I BffA DIES L9.Ff5 Phone River Basin
JOIH D1 VBA ClNIA
AEC s):, 111f­
Adj. Wtr. 14-4 ik!,.
man uLr�Ln)
OF& at�L
Closest Maj. Wtr. Body
yes /C��/ CrIt. Flab. yes no
ILL
*
Type ipr* Ac�tjy J 7
(Scale-
�K� Pier (dock) -lef4ih, .1 4w b /J, �li��
FInSe
Grde
Bulk l�
awly
number
J_
"I J
7
J
__4
r
4—
I
Ill l"gth
ftue. offshore`
mix distance o$sFtoreof
t
J
. . . . . .
+
channel
7-F
7
CU
7.
ramp. .
. . . . . .
iouW Boadift
r
L
4..
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t
—4—
. . . . . . . . . . . . .
_7
4T
A building permit maybe mqul* by: r.otin on back regarding River Basin rules.
Notes/ Specw

- miv nF COASTAL MONT FAN N0. 4
V.. US
':!'lI.lhI MAILItF t)9✓~�i_Ytf:t'I��i'"1' T,ZL(,)�n�,SrX`T';i7
x - —
171VI.Shc7ti (11' ('0,1,S'1AL
lUPAR AN P17MI'1`.Ct'l 5 ()YY`lil: OZ'IFICAT10INf)"VAIk&'
rVl�.ti(
Kati �
h:,,►lc of ill dividual u1►lily in" fnt
7
Address or i►ruttcrty;_S2
(lot of lt.,m 4 1-rat ur rou1;
(City Crwnty)
1 Iletelly c:rc'(tfy thTt i own prol-it rLy Pdj(:-cnt b-)11(c abt�va refcrenecd l tol�r.rty. 'rh(
ieldivi(WAI n,'plying for this permit hos ilvscribccl (� (ltc (as shoµ'n on tJlc t,tt;iChCtl
drawittt) the develop174Citt ilaay ,(rt• proposing. A desctiption or drawing, with
dintensicew, sho►lid be 15ravie C-0 Witte this ICRItr.
I have no objec(ioits to this pr0l)0S31.
Ifyou have. obieely4ms Io ivhal is being proposed, plcrise Wt*d the Divis'iolt 4 Coaslnl
[t fir�trr(,�t•erierll, too Commerre Ave,, h(oreltead City, NC 28557 or call (.252) 808-2808
)villelti .10 plays of rreelpl of (MY notice. No response is cop:s4dered the same as ran
ohjeetiori if you lrrrve been nolVied. by Cerlif ed Moil,
W-AIVFIt 5F.CTION'
t iirttl�:r.;tnnil titlt a crier, duck, inooring pilings, breakwater, boadlQU--se, lift or s;ln(tbllgs
imist be sct back a minimum disUnnece of 15' front my area eC riparian access urlicss
waived by tilt. Or yalt WiS11 TO waive the setback, you musk initial tilt sppropfiate binnk
Wow)
I oo wish to waivo t1(u 15' setback rt;quiteilic)it.
wX_- I (ln nni wish to waive rile 15' setback rcquireme at.
411:1. tier Aale
f'rlrrt iirra�^
Te�ephunr, tlunrBrr With Area ('this
1r'r. tt, ;i r:,, 'it ur i�:,, lt.} r',,,

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to o l�
(Name bf Property Owner)
property located at q v-%-O ® yi��
(Lot, Block, Road, etc.)
on in 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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
Signature
Print or Type Name
Telephone Number
Date: �"�� 0

ADJACENT RIPARIAN PROPERTY OWNER STATENLENT
I hereby certify that I own property adjacent to�.J. �v��� I I� G/4
(Name of Property Owner)
property located at 19-Y-" O
(Lot, Block, Road, etc.)
on % c\ C�� t�\� , in CiZY'� V ja- -4 �y/`'—Ty N.C.
(Waterbody) (Town and/or County)
He has described to me as shown below, the development he is proposing at that locat!o
and, I have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPNIENT
(To be f7lled in by individual proposing development)
R^,"`' -t- `'ems
�x
Ri 7-
V �
V
� O
Signature
Print or Type Ndni
U 14 j--f- *1 ,/ Y
Telephone Number 25`� 6'32 y%7v
Date:

/ a 4 r p
DUCK CREEK SfAALL BOAT
PH, ( 2) 637_2045, (25ssa 1�02 ARr`�.f�'` ' >�� `��,� .
P.O. BOX 40 ! '� l` ���� \ • f\�/' f f l f�, f�f>�r �- �� \ 9903
BRIDGETON, NC 28519 �jtJ�li�
PAY�AJ / 1''�f
TO,THE
%�'�•. >�tir�\ I� �`.. DATE c) 1.�{ 1 'TJ 07 /�? ,�j�5 j�0J5s'}
ORDER --�� xN
OF�1
-- - ---)PBOLS0.4
DOLLARS 8�,
CITIZIE S BANK .� f f� �r ,f�l�fNel f ! r f :A
www.flrstcltizens.comFIRST ;\�'�
FOR (� `` .a fir,\ Nf
1190099030■jw
11 \
.0 0 1. 2 5 5 7 1011' �,�iN, J .