18462_PECK, BENIT_19971020

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CAMA AND DREDGE AND FILL Cd�
GENERAL t FJ
PERMIT7�,.
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
PROJECT DESCRIPTION SKETCH
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
State
Zip
(SCALE: )
P"
I'
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any
F
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violation of these terms may subject the permittee to a fine,
imprisonment or civil action; and may cause the permit to be-
applicant's signature
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.
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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
Management Program.

Coastal Marine S Sports
1081 N.C.58
Cape Carteret, N.C. 28584
Berit Peck Loy Morgan
919-393-7004 919-393-7008

Bent Peck 5-87 66-30342I 7595
206 Club Point Dr 393-2884
Cape Carteret, NC 28584 / G
DATE___!
PAY TO TI tE r_ ` �__)_1 e b
ORDER OF
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--DOLLARS
Look for: Micro Pri t signature line, gray type and llnewurk. fir iti�,�nyfja tJt logo on back. If not present, do not cash.
HIRST0BAN�I�'IZN ru342 Qg5t
nst-CitizensBankB at Company
Cape Carteret, N.C. 28584
FOR
1:053 L0030011:34 i760 Loa ?III . 7595

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ENVIRONMENTAL HEALTH DIVISION
CARTERET COUNTY HEALTH DEPARTMENT
IS. 13OA-336 BEAUFORT, NC 28516 [phone]
1MP;iOVEMENT PERMIT
VALID FOR 60 MONTHS
Subject to revocation if site plans or if
site is altered or intended use is changed.
ELECTRICAL PERMIT REQUIRED: Yes ( ) No ( -f
OPERATIONS PERMIT REQUIRED: Yes ( ) No (✓f
OWNER:
ArrDDRESS;
' -• r PHONE:
PROPERTY LOCATION:
SUBDIVISION: '� l `/ L C' l 1' c� �. r i—?//! ��'h,�;'•�� i /.7r
LOT: BLOCK: S" ~l� f•
TYPE STRUCTURE: NO. BATHS:
NO. BEDROOMS: � ` NO. PEOPLE:
DESIGN FLOW: U GARBAGE GRINDER: Yes () No(v)'
SEPTIC TANK: f •n.< )GAL. PUMP TANK: 7�WL GAL.
NO. LINES: �"` �� ' G WIDTH:
TOTAL LENGTH: '�4� FT. TOTAL: SO. FT.
WATER SOURCE: �•�'� -t:
HORIZONTAL DISTANCE FROM WELL: � `� <• ` i FT.
SITE MODIFIED: Yes ( ) No (✓)
DRAINA$E REQUIREMENTS:
EASEMENT REQUIRED: Yes No
DRAINAGE MAINTENANCE REQ.: Surface ( ) Sub -surface(
INTAIN MINIMUM 10' FROM WATER LINE
N j % I" Q M
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COMMENTS:<��)V.'r r'•t�,.� 4�t �'C �� r� 't <�'��; r
'Prior to any change in systtem layout, approval must be obtained
from Health Department.
NOTICE: Construction must comply with all state and local regula-
tions. Do not install well until well site has been approved. Do not
cover any portion of the system until approved on inspection.
NOTICE: Beware, much property in Carteret County is subject to
Wetland Regulations and properties containing wetlands should
receive approval from U.S. Army Corp of Engineers prior to develop-
ment.
ADDITIONAL REQUIREMENTS ON BACK OF PERMIT.
IMP OVEMENTS PERMIT BY:
j1
ENVIRONMENTIAL HEALTH SPECIALIST
DATE l f�t�' q-
M.ECLASSIFICATION..L
[2.0New Construction
❑ Repair
❑ Existing System
'SYSTEM SHALL NOT BE INSTALLED UNDER WET CONDITIONS
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'Trench bottom depth. to be no deeper-t raR• r Z-I ul a•.?
naturally_o currin surface. V6 ( t
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