25553_GAGNON, DONALD_20000509

CAMA and DREDGE AND FILL
G E N E R A L 2,5553
PERM I T
as authorized by the State of North Carolina
Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC
Applicant Name
Address
City
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
i
4 -1
cubic yards. . ... .........
I r
i
Boat ramp dimensions
Other
- i
t
This permit is subject to compliance with this application, site drawing fA ' .'`,
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 become null and void.
This permit must be on the project site and accessible to the permit of-
ficer when the project is inspected for compliance. The applicant certi-
fies by signing this permit that 1) this project 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.
In issuing this permit the State of North Carolina certifies that this project
is consistent with the North Carolina Coastal Management Program.
applicant's signature
permit officer's signature
issuing date expiration date
Attachments
application fee

LARRY G. ARNOLD
P 0 BOX 2277 66-152/531
MOREHEAD CITY, NC 28557 0916
PAYTOTHE
ORDER OF
,
WachOvia Bank of North Carolina, N.A.
Morchelt(I Cily, NC 28557
FOR
:OS] LOIS 291: Ora-
SI-P-6 law. 0,611.
Emu 07, -63

`DJACF- T REPARLAN PROPERTY OWNER STATIIINT
UNCOVEREd BOAT LJFn
I hereby cead fy that I own
property adjacent to bo�� Cl)'s
. (Name os Properly Owner)
PrOPerty located at ,Lr.' i U L E rrE.
RD: Si"Vk'15c Po tilt
(Lot, Block, Road, etc.)
on UiL,LL�a CRtr_
in
(Wa ody) aka Clf /� ►� C /'ry
-CLARrCRE i N.C.
(Town ane—'G ® 9y)
�Ie h_as dP=ried to me, as shown below, the devejo wx ;
location; and, J. have ago objections to his �, � � he is proposing at that
must be yet back a minimum distance of fifteen feet 5 � tbJi a PiEWuncovered boat lift
waived by me. ( �) y a of riparian ass unless
I 4 Qt wish to waive the setback roquireanem.
I Jq wish to waive that setback requimme"
----" __
D-ESCIaplION AND/OR DRAVQNGOP PROI t? �a+ I) ,` ' _
(To be jWed in by andi�
F ing �.^�a �s '��1PMF�NT:
d'a.'�'H �F�
r„ I
Signature
Pint or Type Name
_7 �/4
Telephone Number
Date:

ADJACENT RIPARIAN PROPERTY OWNER STA
(FOR A rIER/UNCOVE�d BOA I.IFT)
I hereby certify that I own property adjacent to 1)0
nr z (S�fj G ,t, c,�,,
s
- awe o� Property Owner)
P�PertY iocated at Lbr�`l 9 / �0 3 P�v4ErTc Ra Su,�
on D i L L- S , , 1�
/j'1 Ui � /��`=�1� ci r
('�'at in y ody) _ ARTF4,E N.C.
=mot_
(Town mwec
He h-� " led to me, as shown below, the
Iocation; and, I have no objections to his he is proposing at that
must be yet back a riinimum distance of fifteen feet Si m a pi
Covered boat lift
waived by me. ( ,) Y a of riparian access unless
I qQ1 wish to waive the setback Muiremen
I.01 wish to waive that setback d
*equiremem.,
D_ESC 1-14)N AND/OR DRAWING OIL O L ,r: -
... ' (TO be filled in by 'ndi-&Ua P1r1, a
1^h.
r
s�
Pint or ?ype Name
_asa�
--).)G--\C,G,
Telephone Number
Date: