26129_LANE, GHERMON_20000724

r
CAMA and DREDGE AND FILL 912 9
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
Address
City
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
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
State
This permit is subject to compliance with this application, site arawing
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.
Phone Number
(SCALE: )
applicant's signature
permit officer's signature
issuing date expiration date
attachments
application fee

DON OXENDINE 0595
HELEN OXENDINE
(DBA) DON'S LAWN SERVICE PH 252-249-1301 66-152/531 CLS
5114 KERSHAW RD - Z
ORIENTAL,,�NC 28571 Dare
�Pay r �e �/� D Al O1.
Order o , y
t
k r A(�IO 0400
tiRec6ovia B. N A '' r rrk
Bayboro. NC 28515 v
Fort7r�' o?(p/oi9 , lupj
11:05310 L5 291: 0787 2 L396So 0595

Jul 20 00 03:44p Don Oxendine [phone] p.l
ADJACENTRIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to N o n C Lc rt -e
(Naive of Property Owner)
property located at ; „ f 4" P
(Lot, Block, Road, etc.)
on a ut�" ,e , in fa.�L/'moo C��« a�'i , N.C.
OV-1tei-body) (Toii,n 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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by indii,idual proposing development)
oV
—29—
Signature JJ
IAr/(ro" E/ d`y�OyrC _
Print or Type Name
Telephone Number
Date: , - 2 G' — 6,; d

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to (, �e M4.1 �4 n I-- is
(Name of Property Owner)
property located at a.,o� lee o , XW oar Ael%A ; n -1 &,p A�,,,
(Lot, Block, Road, etc.)
on &i Y,der , in f"--,/"co Co--7/-Y , N.C.
'Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is proposing at that Iocation,
and, I have no objections to his proposal. I understand that a pier/mooring
pilingsftatlift/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 d4 wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMEN'T:
(To be filled in by individual proposing development)
9 W "A r-j-,
Print or Type Name
Telephone Number
Date: 7 &D
I'd auipuax0 uoQ dot,:E0 00 oa IBC