24876_LEE, DAVID R_20000316

Applicant Name
Address
City
CAMA and DREDGE AND FILL
G E N E R A L 248�'
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
Phone Number
State ac- Zip ? 7
Project Location (County, State Road, Water Body, etc.) -7U C-�3F�T" C! .
E-ryA �UAcs [ �1- NCSP Vlc;l 1V_t\L_ i—i�U£tC.L't✓. 4�C .
Type of Project Activity
PROJECT DESCRIPTION SKETCH
Pier (dock) Length .1
Groin Length
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards '.�.
Boat ramp dimensions
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 thatthis project
is consistent with the North Carolina Coastal Management Program.
(SCALE:
applicant's signature
permit officer's signature
issuing date expiration date
attachments
application fee

DA"ID R. LEE NCDL 448885
FA) E LEE NCDL 2226033
209 I?RYAN ST. 447-3642
HAVI'LOCK, NC 28532
9-70
7358
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66-30/531
227
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-V p-,4. N.C. 28537
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual applying for Permit: L
Address of Property: CA g-��'���
(Lot or Street #, Street or Road, City & County)
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, Hestron Plaza II, 151-B, Hwy. 24, Morehead City, NC, 28557 or call (252) 808- ,
2808 within 10 days of receipt of this notice. No response is considered the same as no objection
if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be
set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you
wish to ,Naive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
i
I do not wish to waive the 15' setback requirement.
Si,elf� re o , Date
P 'nt Narhe �'
r'Q552,) 0-
T ephon Number With Area Code

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Whom & Date Delivered
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Return Receipt Showing to Whom,
Date, & Ad esssee's Address
TOTAI�vdgtage & Fees
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Postmark or Date
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Sent to
Str et &Number
P st Office, State, & ZIP Code
Postage
$
Certified Fee
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Special Delivery Fee
Restricted Delivery Fee
Return Receipt Showing to
Whom & Date Delivered
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Return Receipt Showing to Whom,
Date, & Addressee' Address
TOTAL P%s#ge�Fees
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Postmark or Date

■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
4 ■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
J �H,J GA t�Li�ly
0`X �C�a
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A. Received by (PleasePrint Clearly) , I B.,jZate of Delivery
C. Signature
X Z1,6
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/� Addressee
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
fd Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
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2. Article Number (Copy from service label)
2 Q't 5
PS Form 3811, July 1999
Domestic Return Receipt
102595-99-M-1789 I

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UNITED STATES POSTAL SERVICE I\R
Frmit
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• Sender: Please print 7dbr , address, and ZIP^+4 n s ox • 5

IN Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
y"- f1-t F- /- J-4,1, ?
by Prearly) B. Date of Delivery
arP�N1 3- 3- 00
v ❑ Agent
❑ Addressee
D. Is deliverlVddress different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
/r _ S C/ �% 1 `' �3 3. Service Type
CRIC'ertified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
J 2. Article Number (Copy from service label)
I_z'3?D Om9 412
PS Form 3811, July 1999 Domestic Return Receipt 102595-99-M-1789
4 -- -_—_

UNITED STATES POSTAL SERVICE
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •