18447_NOE, MARION_19971126 (2)

O
CAMA AND DREDGE AND FILL
GENERAL 018447
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 7 H 19 Oe
Applicant Name �'►
1.
L.62—�^ 1 ,y-s`
Phone Number
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Address ! I a y E:
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City
t
State C
zip
Pro'ect Location County,
State Road, Water Body, etc.)
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Type of Proje t Activity
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PROJECT DESCRIPTION
Pier (dock) length
SKETCH 6 (ti
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(SCALE:
1
Groin length
number
Bulkhead length
r
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(�
c_
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r
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.
1 � applicant's signature
permit officer's signature
issuing date expiration date
attachments / ` C ` + C / # l d t�
In issuing this permit the State of North Carolina certifies that r
this project is consistent with the North Carolina Coastal application fee
Management Program.

9 P MARION T. NOE
NCDL 997698 PH. 919-728-4862
1909 FRONT ST.
BEAUF,,OnnRT, NC 288516
a� of 1� - /V16
66-112/531 8 5 3
5113275121
ozZo, / BB&T17
BEAUFRONT RT, NCTREET 28516
1:0531011211:511327512lum 0853 ~

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGS/BOATLIFT/BOATHOUSE) � 8 �`�' IL'
Ala .-
I hereby certify that I own property adjacent to &
f (Name of Property Owner)
property located at o uJt
(Lot, Block, Road, etc.)
on v t2 _ �� in , N.C.
(VVaterbody) (Town nd/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/boatlift/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.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
t ::?-o 61-
q�q--12,,�> — 4�g
Telephone Number
Date: /qrl

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSIBOA7ZI1,7/BOATHOUSE) _
%A?�
I hereby certify that I own property adjacent to 's
(Name of Property Owner)
property located at ) `f 0
(Lot, Block, Road, etc.)
on 1 '�� , in C�—il �� N.C.
aterbody) (Town and/orCounty)
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/boatlift/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.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
Print or Type Name
�/C�/r7zk --- 730�
Telephone Number
Date: Nv ! l , '/ `/� '� �7