21494_DENMARIL, ANDREW_19990315

CAMA AND DREDGE AND FILL
GENERAL i 02..494 -c-
Y -> �'6V
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
Address
City State Zip
Project Location (County, State Road, Water Body, etc.)
r
Type of Project Activity
PROJECT DESCRIPTION
SKETCH (SCALE: )
Pier (dock) length
h+_?' �— (, (c '�.. 7i._�N i U iT Q�L���
'r = ;Lrt�lr�S'F!� tV'tfiC--'J,�L, i� `k. i'la'VCz,�i (..h+ ♦"1L�/
Groin length
L�r ��� � Jl L'i C iJ(.'- �� 'ye l (�*' r\� r t- •� -'C.xl �I I E . �
I
tA\� Al lL�s�tr�C th?C C'
number
xC.-,lJr�.T ZLJIv•
Bulkhead length
JL� -- I T-:
G sC&E, ;
max. distance offshore
f
I I
Basin, channel dimensions
cubic yards
147
`--------- -- -----
Boat ramp dimensions
Other
EA,
N1 if\
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.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
applicant's signature
permit officer's signature
issuing date expiration date
attachments( /51h CAI �' • I F-b(7
application fee f —

BROAD CREEK CONST INC.
[phone] 4498
II Creekview Court 66-152/531
Merritt, NC 28556
PAY TO n
THE ORDEROF C_
s � /SU• UTJ
OLLARS
_ ACHOVIA
W.ma Bank, NA
e«rnybo�, MaU5
� ��t i t ei.��ct3 � al •P;-tIL/
F_OR Arts -kilt r-/
NP
1:0S3i0iS291: 078L 001240u' 4498

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to 1/3)n eL i bGa^ lMalj(- 's
(Naifie of Owner)
property located at
(Lot,
etc.)
on �1r-LN C,,n � in _ 0-ArV`ejai , N.C.
(W terbody) (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)
a Q ,, , �'Q' � , ,
Signature
Print or Type Name
Telephone Number
Date:

ADJACENT RIPARIAN PROPERTY OWNER STA
(FOR A PIERIMOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to A 14 , D o,A hAt�C— 's
(Name of Property Owner)
property located at
V-.
(Lot, Blbck, Road, etc.)
on cLV' in 4 �—�`����� , N.C.
aterbody) Mown 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/boatliftiboathouse 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)
T #r'�p --y7f1-iZT-
Print or Type Name
Z Z- Zt/9-zz
Telephone Number
Date: _3 - / S-- 9,9