24830_COPELAND, WESLEY; ALTON BEST_20000313

Applicant Name
Address
CAMA and DREDGE AND FILL;
G E N E R' A L N 24830
P E 'R:M4
!
as authorized by the State of North Carolina.
Department of Environment and Natural Resources and the Coast t esources Commission..'.
in an area of environmental concerI pursuant to 15 NCAC
Phone Number 1�
City 1 1 E�12 J�—
Projec4ocation (Courjty, State Road, Water Body, etc,)—k
Type of Project Activity
State Zip OG7
rMR,
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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 become null and void.
This permit must be on the project site and accessible to the permit of-
ficer when the project is inspected for compliance. The applicant certi-
fies by signing this permit that 1) this project 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.
a nature
ermit officer's signature
a
issuin to expiration date
attachments
�S
application fee

Mar 0.7 05 03: 13p Coor Farm Suppl;d 915034121G p.l
FROM :Golden Rai1dinS Co-porntion FnX NO. :2525342927 'Tar, 07 2005 01:52Pr' P2
r.
" 2005
`�...,1:dd�Al.IED MAIL a REd �RECEIPT ..EEQ1Xd1LD iead City DCM
L)IVISIGN' OF COASTAL MANAGEMENT
. -L+'I. �l: Gb Ef�IV a"16'S OJC uEa 4 �� �. �'li eR.. •'� xVil T: FT( C ATION W' i b' ER ?F4'R-N!
ADJACENT -
�Iame:nf Individual applying for Pt:� ,7it:— �— -
dress of Property: -- -
(Lot or Street R, Street or Road. City do County)
I hercby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to ire as shown on the attached dra.ding the development
they are proposing. A descrip?ion o. 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 Uv sion of Coastal
Rlanagentecrt, Hestron Plaai 11, 151-0, flivy. 24, !Morehead City, IVC, 28557 or call (252) 808-
2503 nitliin 10 days of receipe of this notice. No response is considered the saute as no objection
if you have been notified by Certifed Mail.
WAIVER SECTIGN
I understand that a pier, dock, niooring pilings, breakwater, boat house, lift or sandbags must be
set back a minimurn distance of 15' from my arca of riparian access unless a z,.ed by me. (if you
v.ish to waive the setbacl•:, ycu must initial the appropriate blank below.)
I do .wish to waive the 15' setback requirement
_ I do not wish to waive the 15' setback requirement.
j t i
?yin Name .�
` t 7 `ram `r— `i yfe i —
Telephone t:urnber With Area Code
/;'S 7i

GOLDEN BUILDING CORPORATION` '
7476
PH. 252-504-2927
1145 HARKERS ISLAND RD
BEAUFORT, NC 28516 7214
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PAY \�`>/\1� \�°� wr `'. DATE
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66-112/531
02301
TO THE i
ORDER OF
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DOLLARS
BRANCH BANKING AND TRUST COMPANY 4_/{ �\\71
W MOREHEAD CITY, NORT CAROLINA � 1 `J
® FOR
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