18555_WOOD, ALLEN_19980106

CAMA AND DREDGE AND FILL
GENERAL
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-Y- M 5 3 5
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
Applicant Name Phone Number
A rl ri racc
City State Zip
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 f
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
1 \ �
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(SCALE:
This permit is subject to compliance with this application, site
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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.

LISA TURNER WEBB NCDL 4309030
PH. 247-5930
P.O. BOX 1885, 720 N. FORTY RD.
MOREHEAD CITY, NC 28557
PAY TO THE
ORDER OP_
02302
66-112/531 6277
5110947811
DATE
2905 BRIDGESRSTREET1
MOREHEAD CITY, NC 28557
MEMO-
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• 101121>I.5110947811110 6277
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIUNCOVERED BOAT LIFT)
I hereby certify that I own property adjacent to L.�� 's
ame of Property Owner)
property located at ko> (16t Pc
(Lot, Block, Road, etc.)
on Cfiql�c in TL4& -F/C. C ��� , N.C.
(Waterbody) (Town and/or County)
r
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
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)
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P)�74 1 s-rx4 6 s'EA J p z
Print or Type Name
.) a,�o - 447
Telephone Number
Date:

e
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIUNCOVERED BOAT LIFT)
I hereby certify that I own property adjacent t`% L)b Z!� Q is
(Name of Property Owner)
property located at
Clot, Block, Road, etc.)
on. M Dr"l`- c1}kt.In-c , in !aL&-1'MC- `73C /'` , N.C.
(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/uncovered boat lift
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
tb ck requirement.
-------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
Print or Type ame
v
Telephone Number
Date: /' 5 qoc:�-