HomeMy WebLinkAbout26113_HUMPHRIES, PETE_20000629CAMA and DREDGE AND FILL
G E N E R A L
PERMIT
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 Phone Number
Address
City State Zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
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, 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
O. L. HUMPHRIEs �� I,�f��r; E� C--�� r'��,/�3 2356
BONNIE C. HUMPHRIES 66-152/531 CC
5101 HOLLY LN �p _1 C_ �PS�T
MOREHEAD CITY, NC 28557 Uutc J
Orcic�r 0/ 7 AV
WON
Wachovia Bank, N.A.
Moplimd Gly, N 28557
Memo
im S 3 LO L 5 29i: 5460 1008 5811■ 2 3 56
ti .
(FOR A Y1F. fl' 1 r1 'Nr, ,�/LCsZ h ,zt ,rJL
/FTIPOATHOUSE)
I hereby certify that I own propert ad ace G�
Y f ntto.
JQ
(Same of Property Owner)
'located at�J
emu» (L6t, Block-,
- �cY:rr
• ": road
dry.:, on
'�--
! (Town andloT' Unty) N.C.
He has dcscribed to sne `-
as sno�✓n, beiou; h
Viand, I have no ob ertior t ` dve'�'�rneni he is prodhort
J ..s
osing at that loca
r'�%p�g���oathous� roust be �,- .:nd; rs�.nd that '
set b:_,k a r:ninir,; .r;; a pier/mooring
ofriPa-dan access unless weed from my area
t'i' — I AC-rU wish to waive, the setbac
dQ wish to waive that Sethack re
quil-cment.
J - DESCRL7TrpN ___ --- -- - ---- - _. - --
AND/OR riRAWING Or p------------- ______--_--------
(To be filled y ROPOSF D DEVELOP:✓
lled in b indivzdzz_l r;»r�s�n;; rEyr
P r deve:opment)
Sinat re ,
�'-Iin—to
Type Name
_^ J 3
7;tephone Nurr.�er- `'----
1
Date
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATL MBOATHOUSE)
I hereby certify that I own property adjacent to
(Name of Pr perty Owner)
property located at
(Lot, Block, Road, etc.) V
on o w, , in , 4
N.C.
aterbody) (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/mooring
pilings/boatlift/boathouse 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 d_Q wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWhi iG OF PROPOSED DEVELOP'Y[Eti'T:
(To be filled in by individu I roposing development)
i
SAW-Ioddt�
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cmatu re
/----e 34 4Ze -
P;;r.t or Type Name /
2 ,s--->- %2
Telephone Number
Date: C%!
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