21420_GASKILL, CLAY_19990203

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CAMA AND DREDGE AND FILL GENERAL m 0 420 -c
cam,, �. ce/'
PERMIT 9� `
as authorized by the State of North Carolina I
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC I r
Applicant Name 0 f Phone Number
Address 7 a cJ D f s Z C r /<',^,.•
City -� ") n 1 . State s t' Zip �7 a 0
Project Location (County, State Road, Water Body, etc.) `7 �,- Y 1 J d n J
Type of Project Activity L1 � c '� V__7 e i
PROJECT DESCRIPTION I SKETCH
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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.
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(SCALE:
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A _ applicant's signature
permit officer's signature
issuing date expiration date
attachments �% A T 7 �J / 1 o o
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application feef
;anagement Program.

J. C1AY G 3KILL
NC 5231378 PH 919-22r-1813
2240 CEDAR ISLAND RD
CEDAR ISLAND, NC 28520
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Wachovia Bank of North Carolina, N.A.
Son Level, NC 28577
For C"�p i;v-- - "'4" M,
l:053LOL5291: 5462 35L 5511' 171..
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O RARLAND
AMERICAN NATURE

Not MU tuol 1 u .__ l -,-A IN ;r a W01611M I1
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual applying for Permit: K E E L I E D. & J. CLAY G A S K I L L
Address of Property: 721 Lola Road
P y�
Cedar Island, N.C. 28520
(Lot or Street #, Street or Road, City & County)
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, Hestron Plaza II, 151-B, Hwy. 24, Morehead City, NC, 28557 or call (252) 808-
2808 within 10 days of receipt of this notice. No response is considered the same as no objection
if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be
set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to `Naive the 15' k setbu., acrequirement.
KEN ETH WAYNE D N LS T
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Print Name
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'telephone Number With Area Code
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LLOYD GOODWIN HEIRS °
n .� NO REFERENCE FOUND j
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TIE ' NE FROM EXISTING TACK TOIAPPROXBNITE CENTERLINE O hQ�t 1
IN' ERSE_TION OF NC HIGHWAY I7; 8 NCSR 1388.
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KEELIE G. 8 J. CLAY GASKILLvp
fir. �7 Lqi 721 LCLA ROAD �i.. `Ns.
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I _ PRESENTED FOR REGISTRAi ION ^A.`1C
ECM i OFFICE IN BOOK PArAE
\ I TH;5 __ DAY OF __-___-
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0101 old M I IMa ov tol-9140.4514_oleo W � • L . l
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual applying for Permit: K E E L I E D. & J. CLAY G A S K I L L
Address of Property: 721 Lola Road
p
Cedar Island. N.C. 28520
(Lot or Street #, Street or Road, City & County)
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, Hestron Plaza II, 151-B, Hwy. 24, Morehead City, NC, 28557 or call (252) 808-
2808 within 10 days of receipt of this notice. No response is considered the same as no objection
if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be
set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you
wish to waive the setback, you must initial the appropriate blank below.)
17
!' I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Signature Date
Print Name
,?5,2-a:2S-Y�?y1
Telephone Number With Area Code

AP
At4c
LLOYD GOODWIN HEIRS
NO REFERENCE FOUND
TIE LINE FROM EXISTING TACK TOJAPPRQ"IATE CENTERLINE
IN7ERSE_TION OF VC HIGHWAY 118 YCSR 1388.
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AREA
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KEELIE D. & J. CLAY GASK.ILL
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06 712 P'u' 273 !S !ARE) CER'If:ED TO BE CORRE
I PRESENTED FOR REG,STRSTICN"A.9C
? OFFICE IN BOOK PAGE
•7 THIS ----- DAv OF I�--