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CAMA AND DREDGE AND FILL
GENERAL N r 021584 -
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 02M. /S(_ o
Applicant Name °��H�c'i1/�S Phone Number
Address 'PDv �?
City /?; t;.,._. , ,& 4'.. 4f State Ails zip
Project Location (County, State Road, Water Body, etc.) (GFr lal ��. �-,•i ,�i/rt ,> ,• �'�/' f c.'i
..a. ��. ... �i %'��. /.a.Y� ni/• .'V/i.. i+ rd. _ iy, ✓'�(�.[Td�_.. 1f �c. fir./(.-s
Type of Project Activity
PROJECT DESCRIPTION I SKETCH
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
ty
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-ell Tit
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
issuing date expiration date
attachments L' 7f/. / �� ct'
In issuing this permit the State of North Carolina certifies that �;
this project is consistent with the North Carolina Coastal application fee sz,
Management Program. lt�
OUTER BANKS MARINE CONSTRUCTION BB&T
P.O. BOX 1988 BRANCH BANKING AND TRUST COMPANY
ATLANTIC BEACH, NC 28512 MOREHEAD CITY, NC 28557
(919) 240-2525 66-112/531
PAY TO THE D.E.H.N.R.
ORDER OF
3890
4/7/99
$ ** 100.00
One Hundred and
D.E.H.N.R.
MEMO --Rusty Ron Barness
GP# o2is8s-c a�7�3�Is�S-
II'00389011' i:0531011 211: 1 23 1015 295
DOLLARS
Security leatures
included.
1 Details on back.
Ivp
9192402525 DBMC TIM GRIMES 807 Pol MAR 23 199 08:44
OUTER BANKS
MARINE CONSTRUCTION
Post Office Box 1988. Atlantic Beach. NC 28512 DOCKS - SEAWALLS - FLOATING DOCKS
(919) 240-2525 Dealer for Davit Master Boadifts
IN
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ADJACENT RI PARLAN PROPERTY OWNER STA
(FOR A PIERIMOORING PILINGSI'BOMLIFTIBOATHOT rSE)
I hereby certify that I own property adjacent to tubo 's
(Name of Property Owner)
property located at _ V-) �� 1J _ _
(Lot, Block, Road, etc.) 1
on C G,1-� L _ , in ck-C4 J �i c _ LAN , 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 DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
\ Si nature
N Print or Type Name
Telephone Number
Date: 3-- `2 —5
I
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9192471058
NPR 0 8 1999
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