18725_MIDYETTE, HUGH T_19970707

Y
CAMA AND DREDGE AND FILL
GENERAL
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 'lam
Address
City State Zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION SKETCH (SCALE: A-) )
..
Pier (dock) length =� � �'.�•' � �:.-,,,,'�—^ � 1..} � F' L
7E
r
Groin length
r
number -'--
30
Bulkhead length #� �I,;G�
max. distance offshore
3o
Basin, channel dimensions
S
cubic yards '
Boat ramp dimensions Jy
.,�-tam
Other
1''
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.
J applicant's signature
permit officer's signature
7
issuing date expiration date
attachments a,7 • /' P`
In issuing this permit the State of North Carolina certifies that r ,
this project is consistent with the North Carolina Coastal application fee
Management Program.

Y� ` Ul�TI'TIED STATE S
15-800 rl 1NEIORDER
ON
�6 5 6 0 21, 4b 7 9 4
SERIAL NUMBER `� YEAR MONTH DAY
POST OFFICE U. S. DOLLARS AND CENTS
'pAY TO CHECKWRITER
..I IMPRINT AREA
FROM
�ADDRESS
r�
,'•:USED FOR
NEGOTIABLE ONLY IN T U.S. AND POSSESSIONS
�:000OOB00 2�: 6 560 2 L40 794ii'

tllj "JACENT RI'ARL�T PROPERTY O' NNER STATF�IEN'r
(FOR A PIERIMOORING PILINGSIBOATUTT/BOATHOUSE)
I hereby certify that I own property adjacent to lu &# T &Jgelr 's
(Name of Property Owner)
property located at 56 OS T.,,
(Lot, Block, Road, etc.)
Oil I'1 FR C E ca C' e x , in il�2 /ENTAL, , N. C., I-P-Ir /
(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
acc-ss unless waive; by me.
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
-------------------------------------------
DESCRIPTION AND/OR DRA G OF PROPOSED DEVELOPMENT:
(To be filed in by indii 'dual proposing development)
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Signature
Print or Type Name
Telephone Number
Date:

JUN-19-1997 11:31 CAPSON BROOKS 919 782 5060 P.02
ADJACENT RIPARIAN PROMTY O"NER STA'TMENT
(FOR A PIFRIMOORIAIG FILINGSISOA71IMBOA.THOUSB)
I hereby certify that I own property adjacent co E .a
(Name of Properfy Owner)
p:",Wrry located at / �y .5'a�a�' STy)W� VE _ ,
%j (IAt, Block, Road, etc,)
oar i'/G`k'C cd'e SY/&C=4. ____ , AI.C.
(Wpaterbody) (Town a n&ei-CCovaty)
He has described to me, as Aorvn below, the develgprmt he is proposing at that
location, and, I have no objections to his proposal. I understand that a pierlmoor€hg
pilin-5/boatli"0ath0usc must be set back a minimum distanceof fl tm tat (15') from my area
ct j;r3rian access unless waived by me.
XI $W-Dot wish to waive the setback requirement.
I IQ wish to waive that setback requirersumt�
- ------------ ..... ...........
DI SCRIP"I'ION AND10 DRA.I
(To be fiWiged ' by i u
�,6
OF PROPOS£) DEVELOPMENT:
T:
i proposing deveiopmert)
i •
7 Q �
W
'e ter y Gi a/E
Signs
If
Print01 Type Name
Telephone dumber
Date:
TOTAL P.02