19627_REMICK, WALTER & ANGELA_19980902

CAMA AND DREDGE AND FILL
GENERAL
27
PERMIT J_
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
Citv
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
Phone Number
Zip
(SCALE:
t !mod,, Y
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,
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 where, 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
this project is consistent with the North Carolina Coastal application fee
Management Program.

WALTER L. ROMINE NCDL 8608322 66— 6 619
ANGELA P. ROMINE NCDL 597655 1s1zaa�2840 1 os1
4133 N.C. 65 PH. 951-3749 DATFFR71
REIDSVILLE, NC 27320
PAY
FIRST NATIONAL BANK SOUTHEAST
MAIN OFFICE
REIDSVILLE, NORTH CAROLINA
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NCDENR
JAMES B. HUNTJR.
GOVERNOR
WAYNE MCDEVITT
SECRETARY
DONNA D. MOFFITT
DIRECTOR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF COASTAL MANAGEMENT
September 2, 1998
Walter Romine
4133 N.C. 65
Reidsville, N.C. 27320
Dear Mr. Romme:
Attached is General Permit #C-19627 to construct a 20'x6' pier at 103 Hickory Court,
in the Town of Pine Knoll Shores.
In order to validate this permit, please sign all three (3) copies as indicated. Retain the
white copy for your files and return the yellow and pink signed copies to us in the enclosed,
self-addressed envelope.
Your early attention to this matter would be appreciated.
TB/rcb
Enclosures
Sincerely,
Tere Barrett
Coastal Management Representative
MOREHEAD CITY OFFICE
HESTRON PLAZA II 151-B HIGHWAY 24 MOREHEAD CITY NC 28557
PHONE [phone] FAX [phone]
AN EQUAL OPPORTUNITY /AFFIRMATIVE ACTION EMPLOYER - 50% RECYCLED/10% POST -CONSUMER PAPER

ADJACENT RIPARIAN PROPERTY OWNER STA ,
NT
(FOR A PIERIUNCOVERED BOAT LIFT)
I hereby certify that I own property adjacent to ,
�117 s_
(Name of Property Owner)
Property located at -1—o
(Lot, Block, Road,
on /1 �n/����J
(Waterbody) � �—, in /i�� .��io/� S/arc�
N.C.
(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/uncovered boat lift
must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless
waivers by me.
/ I do not wish to waive the setback requirement.
I AQ wish to waive that
setback requirement.
DESCRIP'171ON AND/OR DRAWING OF PROPOSED DEVELOP,),IEN ':
(To be JWed in by individual proposing development)
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�A.yAL
CIf GR UNE cr Cr;NaL-
J7lr
I; F-
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Print or Type Name
Telephone Number
Date: �-�/
1p,-F

ADJACENT RIPARIAN PROPLTtTY OWNER STATEMENT
(FOR A PIER/UNCOVERED BOAT LIFE
I hereby certify that I own property adjacent-to/f,� �•
c /I7 //I e- s
(Name of Property Owner)
Property located at 4-07—22
(Lot, Block, Road, a c.) '
on in /�-' o // S a -
(Waterbody) rc� , N.C.
(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 'un
waived by me. derstand that a Pier/uncovered boat lift
must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless
I do nit wish to waive the setback requirement.
I �L wish to waive that setback
requirement.
DFSCRIMON AND/OR DRAWING OF PROPOSED DEVELOPNM??T.
(To be fulled in by individual proposing development)
F''Fl .
CAr;AL
/ \ - (1_;,7CQ LIFE C:�F CAtiAL
�7Fr
r�
J
Fi
/ C
c1
- Signature
TA-0
Print or -iYpe Name
r?C)3) 6 S� - -3-D-(-
Telephone Number
Date:
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