18743_SALLY, JAMES & MUELLER, PETER_19981106

A
Y
0
Applicant Name
Address
City
CAMA AND DREDGE AND FILL
GENERAL
Q
PERMIT Iii
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
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
State
Phone Number
Zip
PROJECT DESCRIPTION
SKETCH _ _
(SCALE: )
Pier (dock) length
• ` ` ' ~
` `; ''
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
/ t
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,
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 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 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.

0§0 L
TravelersEMpress
PAY TO THE 11 J
ORDER OF V
BY SIGNING YOU AGREE TO THE SERVICE
•••••• UHAW EH j
---��P.O, BOX 9476, MINNEAPOUS,MN�55�--- �� E = / r,
DAT _ C� cc
75 53 W
7- 707949346F51 919 9K
,.. p�
ZI:HARGE AND OTHER TERMS ON THE REVERSE SIDE �:., O
/ n PURCHASER. SI F RA4�RNOT
O
.'
NaweLu
SoI NA 1�(6 GOOD
`�� .I.1 _� I ..
":� ..
�.:1 �:�� �..: I �::� ..,
aawi UN OVER
Z
1:09190053D:770 794931, 9113
90
w
x

CERTIFIED MAIL • RETURN RECEIPT REQUESTED erg ro o � fOfY1ert.
=L>% Heath and Natu l Resovices
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual applying for Permit: S '/ • 96z'-C-1C�"
Address of Property:- �P 'i;�- /Z�
CkJ 0-D f 7
(Lot or Street #, Street or Road, City & County)
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
V I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, Hestron Plaza II, I51B, Hwy. 24, Morehead City, NC, 28557 or call (919) 808-
2808 ivithin 10 days of receipt of this notice. No response is considered the same as no objection
if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be
set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you
wish to waive the setback, you must initial the appropriate blank below.)
t' I— I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
�9g
Signature Date
Print Name
Telephone Number With Area Code

� �
l v
�%� r�s��
��r`iw� G � s

P�dp�6s� d
C 17'
k�

A
ASVNaAworrasRrvL
LIFE IN JESUS
0*
There is abundawonderful
life in Jesus.
Abundawonderful life that
never ends.
Abundawonderful happi-
ness, Abundawonderful
friends.
There's abundawonderful life
in Him.
(repeat)
© 1987 Birdwing Music (A5CAP) (adm. by EMI Christian Music Publishing). All Rights
Reserved. International Copyright 5ecured. Used by Permission.

CERTIFIED MAIL - RETURN RECEIPT REQUESTED ;A p, � o �,,,,,,,a,,.
fjLi4 M F4ssh and Nat-- Rasa--s
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual applying for Permit:
Address of Property: L e/' S , 4-,
(Lot or Street #, Street or Road, City & County)
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
I have no objections to this proposal.
If you have objections to ivhat is being proposed, please write the Division of Coastal
Management, Hestron Plaza H, 151B, Hwy. 24, Morehead City, NC, 28557 or call (919) 808-
2808 )vithin 10 days of receipt of this notice. No response is considered the same as no objection
if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be
set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you
wish to waive the setback, you 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.
Signatum Date
N S5 e / / 9 ",r
Print Name
Telephone Number With Area Code