22381_COZAR, DAVID_19990702

CAMA AND DREDGE AND FILL Ced
GENERAL '1 22381- ,,--
P RM IT �--
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
Address
City State
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
Phone Number_
Zip
PROJECT DESCRIPTION SKETCHf , (SCALE: �� )
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
C,
cubic yards
0
y
Boat ramp dimensions
r
�N• �j t1S �
•
Other
Y
Tf--
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- applicant's signature
come null and void. 1,
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 i ) 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
permit officer's signature
(!?
issuing date expiration date
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
application fee

MIKE NOE CONSTRUCTION CO, INC. 66-112iss�
1031
PH. 252-728-3828
P.O. BOX 586 DATE
BEAUFORT, NC 28516
PAY TO THE C /
ORDER OF J� �lJ•V
'S LLARS
l:0 5 3 LO L 12 0: 5 2 L 360686tiii' LU 3 I

06,116r'1999 16:58 2525047051 AMY NOE PAGE N2
�J
ADJA °'r RIYARLAN pRopERI y OWNER S"TA'Y' I'
(FOR A PJER Af0C)RJNG p1.L1'NGS150A27j T/BOATHI�ri''5
7
I hereby certify that I own Property adjacent to J ; p 41�-
(Name of Property Owner)
property locatrd at - - -- --/ 10_
t, dock, Road, tte.)
N.C-
.
He has described to me, as shown below, the development he is proposing at that
location., w)d, I Nve no objmtions to his proposal. I understand that a pier/rnooring
piling slboattiWboathouse trust be set back a minimum distance of fifteen feet (15') from my area
of riparian access uidess waived by ire.
- I/
w
I da-= wish to waive the setback req=Cment.
I LIg wish to waive that setback requirement.
DF-SCION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
{'To be filled in by individual proposing devolopmeat}
T
r .oM.._.-------- �- __ __...._ `z �`�-rtiL--_� --- ---- ----- ------
� 1
Signature
J w h�^�Cr
Iwo", 1
Print or ame
Telephone Number
Date:

06/16/1995 18.58 2525047091
��� MNr � PROPERTYAt�Y NQE PAGE _F�2
(FOR A AjBR1j1O0� rUN ®� STATEMMNI,
I hereby certify that I overt Property adjacent to INuaLv?
�. �� �1 I
�e of Property 4wraer)
Property located at
flog, BlocWp Road, etc, ,
on , in o na/o — � r MC.
He has dexribed to nee, as shown maw, the development he is proposing at that
location, and, I have no objections to his p g
piiingsJboatlialhause must be set back a proposal. T understand that a Iaierfaraooring
minimum distance of fifteen feet (15) from my area
Of riParian aCta 3 unless waived by me.
-- - I d not wish to waive the setback requirement.,
r
`✓ l S2 wish to waive that setback requirement.
DES(-TJ ON AND/OR DRAWING OF PROPOSED DEVELOPMENT:
/ (To be filled in by individual proposing development)
l i! \r,r-
c
-- - --------------------
�') . R
21
Sl$naturt
Print or Type Na is
07
Telephone Numlaer
Date:

Location: �� /j � �� Field Rep'
Phone:Date of PE -Mort:
Description of Project:
Date Project Feportedly Compf`ete:
(1)' Do the treasured dimensions cf the dEVEEnt aiffEr from those
indicated in the permit .and/�jkplat?. Yes / No FaVE all permit
conditions been satisfied? y/ No '
COY-Ir, NT :
(2) Erosion Control: s �Eui c s=Er"E Crcs=c
of GCher"w? sa s t.crl1 1 - -r
Z Ed all C1s- `L1ri,E^ crEcs
i
t
Mcni tcrincr and Znf orcement P_c- ' O Ts r furt.'er i ves , 4 aal-i cn
or enforce-ent action needed? Yes / No
COUNT: