23112_GOLDEN SR, NED_19990802

O
Applicant Name
A ,J A .,. .
CAMA AND DREDGE AND FILL
GENERAL 0231
:
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
City State
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION SKETCH -'
Pier (dock) length I i;
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
Phone Number
Zip
(SCALE:
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, applicant's signature
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's signature
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 issuing date expiration date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee q4,o' `7
Management Program.

2244
GOLDEN BUILDING CORPORATION
364 STRAITS RD. PH. 504-2927
BEAUFORT, NC 28516-7207
g 3 4g DATE 66-112/531
PAY /
TO THE
ORDER OF I s '5O.00
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ARENFELIo-.�
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1110000220,112 l:053101121l:52L224639711'

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGS/BOAyyIFIYBOATHOUSE)
I hereby certify that I own property adjacent to ki—
4z� 's
(Name of Property Owner)
Property located at
r t
10h4tAet 5 — (Lot, Block, Road, etc.) '
on �� in
(Waterbody) , N.C.
(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/boatIift/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.
"A
I do wish to waive that setback requirement.
-----_------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
C�
Print or Type Name
Telephone NumberI j
Date: 7 l"

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to
's
44(Na'm;-'e#o�Prone�r;tyOL�w-n,-,i
property located at,� r,r, , _Lc i _
(Lot, B1ock,'Road, etc.) '
on in
E
�C
(Waterbody) N.C.
(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/mooringa
pilings/boatlift/boathouse must beset back a minimum distance of fifteen feet (15') from my are
of riparian access unless waived by me.
✓ I do not wish to waive the setback requirement.
.p
I do wish to waive that setback requirement.
DESCRIPTION A_'VD/OR DRAWING OF PROPOSED DEVELOP.N MN'T:
(To be filled in by individual proposing development)
` z
Signature
Print or Type Name
—15 Z- 7 �i
Telephone Number
Date: