23213_HALE, JIM_19990523

CAMA AND DREDGE AND FILL
GENERAL NN".) 2321
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
Address
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
v r 1,,
PROJECT DESCRIPTION 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
State
Phone Number
Zip
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 i
this project is consistent with the North Carolina Coastal application fee
Management Program.

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1599
ERIC B. ELLIS
NCDL 85047 PH(252)726-6775 66-30/531
205 NOTTINGHAM DR. bate, 133
MOREHEAD CITY, NC 28557
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR -A PIER / UNCOVERED BOAT L F )
I �ereby certify that I own property adjacent to
(Name of Property Owner)
ploperty located at
(Lot, Block, Road, eta) '
Oil OWnAQ- in -'9-J N'C.
(Wa terbody)
( own andlor�Coun�ty)�
He/She has described to use, as shown below, the development he/she is proposing at
tret 1_oe9tion and i have ne objections to bisll+er r►rnr
r n!q:g1_
r-�
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DESCRIPTION ANT)/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
MAky =. K�NYHr�
Print or Type Name
2.417-.IfIS3
Telephone Number
Date: 3 h

or'
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER / UNCOVERED BOAT LIFT)
I �ereby certify that I own property adjacent to i ti9 y
(Name of Property Owner)
plopeity located at
(Lot, Block, Road, etc.)
oP /) S C a "d- �- in PO4--S
(Waterbody) (Town jin&or County)
He/She has described to me, as shown below, the developmeat he/she is proposing at
trust location and I have no obiections to his/her proposal.
----------- 1....rrrrr....... M..... --------r----rrrrr�������w��
DESCRIPTION ANT?/OR DRAWING OP PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
-------------
Signature,
Print or Type Name
Telephone Number
Date: // ✓ v -w l' 7 /