25503_LIFSEY, BILL_20000424

I�
CAMA and DREDGE AND FILL ,I�r _c-
G E N E R A L
2 a51)3
r 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
i
Applicant Name Phone Number
Address
City State Zip 4x-,1
i
Project Location (County, State Road, Water Body, etc.) C
Type of Project Activity r t
PROJECT DESCRIPTION SKETCH (SCALE:
Pier (dock) Length t t _ N
Groin Length _
number
Bulkhead Length
max. distance offshore J i
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 that this project
is consistent with the North Carolina Coastal Management Program.
applicant's signature
r
permit officer's signature
issuing date expiration date
y'7 !. ) `:,,.
attachments
application fee

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(For a pier/mooring pilings/boatlift/boathouse)
I hereby certify that I own property adjacent to lwr�
Downer name)
property located at -"/a /�/c1fR-SizC f.2, /VW is
(lot, bl�c�, road, rte et .)
on �,E w cr,__ , in /VET � ETo�✓� , NC.
(body of water) (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 poles/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 do wish to waive that setback requirement.
-------Description and/or drawing of proposed development-----
A"E /�UE-n-
Signature ( = i
Print or type name j a ST A k K­
Telephone nu ber2Si. �
Date U d

APR-25-2000 03:02 PM CROWS.NEST.MARINE.SCVS. 252 635 9533 P.01
{
CROW'S NEST MARINE SERVICES
1108-4 Highland Avenue,
New Bern, N.C. 28562
Phone: [phone]
Fax: [phone]
Email: [e-mail]
Pages including cover page: tO �—
TO: Se-e-0 77-. 7AJG�!,
Fax No. ,2-47- 3 3 3 v
FROM: Gene L. Crow
Fax No. 252-635-9533
Phone No. 252-635-6390
Q-

APR-25-2000 03:03 PN CROWS.NEST.NARINE.SCVS.
252 S35 9533 P.02
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(For a pier/mooring pilinge/boadill/boathouse)
I hereby certify that I own property adjacent to L414e, 46QFY
owner na e)
property located at '��i &f.92tr
2, r.
�/"Vrot� (lot, bloc road, rte )
(body of water) (town a or county)
He has dewribed to me, as shown below, the development he is
proposint at that locatioe, and I have no objections to his proposal. I
understand that a pier/mooring poles/boatli t/boothouse 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 requirersment.
I do wish to waive that setback requirement.
-----Description and/or drawing of proposed devaelopment—
/�" /Vlu Lr rk.
Printer type ■amn Bice hies
Telephone cumber
Date 14 _A5 6b- - -- --