21104_MCQUEEN, PEGGY_19981119

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CAMA AND DREDGE AND FILL VJ
GENERAL r�; 0 2 U91 4
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 i �`J ! c7 -, r .
Applicant Name j `> `
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Phone Number
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Address
City: n 9
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State
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Zip ��- �:-" t, 7
Project Location (County, State Road, Water Body, etc.)-•
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Type of Project Activity'
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PROJECT DESCRIPTION
SKETCH
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(SCALE: )
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Pier (dock) length
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Groin
length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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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 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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applicant's signature
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permit officer's signature
issuing date expiration date
attachments /,/ l" �i �r , r �1
In issuing this permit the State of North Carolina certifies that . w`%
this project is consistent with the North Carolina Coastal application fee
- J
Management Program.

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DAVID JOYCE CONSTRUCTION 3689
NCDL 26618422
P.O.BOX 191 PH.252-241-4389
MOREHEAD CITY, NC 28557 �j 66-391531
DATE 005
PAY
TO THE �U
ORDER OF V —/ 6
DOLLARS
1111�KrIIA'FIZEN5..5
l� Y ' �I First-Cifizans 8-1 & Trust Company
l� Beaufort, N C 28518
FOR
112003M3911' I:053 L003001:00005 240394611'

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P.O. Box 191
Morehead City, N. C. 28557
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«lrYfAfA1N 1 RD INN'
General Contractor Lic.# 15134
/ Phone, 919-241-4389
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGS/BOAYLITTIBOATHOUSE)
I hereby certify that I own property adjacent to P:26�'" (.! ��+ l s/
J Viamd of Property Owner)
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property located at �l N 01
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(Lot, Block, Road, etc.)
on t (_ ,r4 c �. 1 in X1411,Jte �� i C� t. � .} �{ N.C. 1
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(Waterbody) (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
piling s/boatliftlboathouse 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 proposinidevelopment)
Sitrna:��re 11
i'rint .r Type Name
t eIep :one Number-- -- -
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