25629_KARLSON, ILENE & ULF_20000725

CAMA and DREDGE AND FILL 5629_ C
G E N E R A L
hdPERMIT
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 % 0.
Applicant Name
Address
Phone Number
City State
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity 1 '
Zip
PROJECT DESCRIPTION SKETCH
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1'7,4
(SCALE:
Pier (dock) Length •,
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Groin Length
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1
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number
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Bulkhead Length
max. distance offshore
1.741
Y
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Basin, channel dimensions
yj.
cubic yards '23 GrS3 1.
p
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c-c
1
Boat ramp dimensions
I
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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, 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.
issuing date
applicant's signature
permit officer's signature
expiration date
attachments
application fee

SHORELINE MARINE CONST
ASHLEY BROOKS
PO BOX 5173
EMERALD ISLE, NC 28594
PAY
TO THE
ORDER OF
rl FT
28010324
66-1521531
DATE —7/ZS'QQ
i $
DOLLARS ^ a
�TACHoya
Wachovia ISank, N.A.'
Vino 6uull R6un•e. NC 247,57
FOR "p
111 280103 21,11, l:053 1015 291: 5467 AO2 711'

I hereby certify that I own property adjacent to J-L. eft) c
(Name of Property Owner)
property located at ` ( l ,—)
(Lot, Block, Road, etc.)
on ' -p �E: in L A (Z _rc, N.C.
a/terbody) f (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/boatlifdboathouse 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 tW wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOP:NIENT:
(To be filled in by individual proposing development)
\ti ,9'
i
EXl STt NCs- ;:>l f (�
14�.
Signa re
Print or Type Name
Telephone Number
Date:

TI Ft IF'*l 11 '-:FIH
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D!A:
I -%i PRO PEP TAY CANT-4-UR '-` A T E IN - LEIN IF RIPARLM
V i 001? F C, Pil-I.N. sypnai 'T7,.FFT.i.J?f)A THOUS -El
lj�q T ­%vn property nd'PL-nnt tr
gi-,iaijie ar m-n-Up.-FTy cm-m-te
On
ki r
th til.itri
n r! r
h i 3 j P. ----nd-rs=,d th--t -a p i e r!"mil. oc n Im-
c,�f, ripmr mn ri".
_d hv m
A:
ish tc.) waive the setback requirement.
lvF enthn-l--J!
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Print or '!'-vpe Name
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SHORELINE MARINE CONSTRUCTION
Floating Docks-Piers-Bulkheads-Bocrtlifts
Day [phone] Evening [phone]
_ X I Ashley Brooks
—P-Oq Dffice Box 5173 Emerald Isle, NC
oa
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