12128_MIDGETT, JAMES_19970121

CAMA AND DREDGE AND FILL
GENERAL p/N° ?�
PERMIT q,
1 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 15 NCAC
Applicant Name
Address j
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION SKETCH -
Pier (dock) length
I.
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
State -
Phone Number '
Zip
r
(SCALE:
i
r
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any
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yt
violation of these terms may subject the permittee to a fine,
imprisonment or civil action; and may cause the permit to be-
\ applicant's signature
come null and void.
J
This permit must be on the project site and accessible to the
permit officer's signature
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
issuing date expiration date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
objections to the proposed work.
attachments
In issuing this permthe State of North Carolina certifies that
,
this project is consistent with the North Carolina Coastal
application fee i
Management Program.

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
I hereby certify that -I own property adjacent to
J 11n P S c-e Is property
Name
located at on
(Lot, Block, Road, etc.)
in _9_1_1av_ 42 _ , N.C.
'(Water Body) (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 pie- must be set back a minimum
distance cf. fifteen feet (151) from my area of riparian access
unless wai,:ed by me.
do not wish to waive that setback requirement.
I do wish to waive that setback requirement.
Description and/or drawing of proposed development: (TO BE
FILLED IN BY INDIVIDUAL PROPOSING DEVELOPMENT)
Signature
Name
q I � -�z i v
Phone Number

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MR. OR MRS. JAMES A. MIDGETT
66-152/531
DL 675274 PH 728-4742
102 SUNSHINE CT
BEAUFORT,NC 28516 Z
77 I iv
JAYTOTHE
ORDER OF
DOLLARS,.;
Wachovia Bank of North Carolina, N.A.
Bentifort, NC 28516
FOR G
1:0 S 3 10 L 5 2 91: 4473
..ARLANo

State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Coastal Management
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
Roger N. Schecter, Director
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1DEHNR
DATE: I D - a oZ , 1996
Attached is a Certificate of Exemption From Requiring a CAMA Permit. In order to
validate this permit, please sign all three (3) copies as indicated. Retain the yellow copy for
your files and return the blue and green signed copies to us in the enclosed, self-addressed
envelope.
Your early attention to this matter would be appreciated.
Sincerely,
i
Field Representative
/dh
Enclosures
W,
P.O. Box 769, 3441 Arendell St., Morehead City NC 28557 N%'OIWC
4 An Equal Opportunity / Affirmative Action Employer
Voice 919-726-7021 FAX [phone] Courier 11-12-09 50% recycled / 10% post -consumer paper