21523_BUNN, JOE_19990323

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- CAMA AND DREDGE AND FILL
GENERAL
IN 022 - ��
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 2/f 1,;2dO
Applicant Name � )✓ '�✓ Phone Number ZQ 6 ` (9;
Address - —
City State 14/0 zip 7
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Project Location (County, State Road, Water Body, etc.) cy, ��l
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
t
Other
r �
/d (1,
1 auk J6
1
"46' C - f"cJ, ,-7,-4
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.
attachments
(SCALE: A/"- , )
applicant's signature
/ permit officer's signature
issuing date
G ?//, /7 o
expiration date
In issuing this permit the State of North Carolina certifies that `` //
this project is consistent with the North Carolina Coastal application fee' �G �7P� k' 9w �'�3 %�
Management Program. r.,

Post Office Box 1988, Atlantic Beach, NC 28512
[phone]
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91
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OUTER BANKS
MARINE CONSTRUCTION
DOCKS - SEAWALLS - FLOATING DOCKS
Dealer for Davit Master Boadifts N

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSIBOMLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to �— 's
(Name of Property Owner)
property located at D �)4
(Lot, Block, Road, etc.)
on7 , in ,M 0�� , 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)
Sigii-afure
Print or Type Name
Telephone Number
Date: 9 -/J y

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