28855_THIGPEN, TOM_20011029

CAMA 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 ,
Project Location (County, State Road, Water Body, etc.)_
State zip
Type of Project Activity t t'
PROJECT DESCRIPTION SKETCH ;"
Pier (dock) Length !
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(SCALE:
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Groin Length
number
Bulkhead Length
max. distance offshore
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Basin, channel dimensions
cubic yards
Boat ramp dimensions
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Other
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This permit is subject to compliance with this application, site drawing
1
and attached general and specific conditions. Any violation of these terms
applicant's signature
may subject the permittee to a fine, imprisonment or civil action; and
may cause the permit to become null and void.~
f~
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
issuing date expiration date
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.
attachments
In issuing this permit the State of North Carolina certifies that this project
is consistent with the North Carolina Coastal Management Program.
application fee

ERIC B. ELLIS NCDL 65047 2063
JASA M ELLIS PH(252)726-s775 66-30/531
1-30Z6j1205 NOTTINGHAM DR. Date 1 133
MOREHEAD CfTY, NC 28557
Pay tot.hc f � /y All
Order of J /� C7 cab y ek,) 6:�e.%% -4— O Dollars 8
y nRS-f CITIZENS-
;�I��IK q��lanho ■ �Boech,N.C. 2B51p ompa+y
For T �
I:053 L003001:00 L3 L7448780n1 0 2063 I
— ---- — - '—' — -- GUARDIANOSAFETY BLUE ESBL
OC'IorMe Amerkan

(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to ,�' 1 , ,e) 's
(Name of Property Owner)
Property located at �3 d4' 1/rt✓, s �yc Y
(Lot. Block, Road, etc.)
on �'�Q /JOL , in ,�� �� , N.C.
(Waterbody) (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 pi -_-/mooring
piiinas/boadift/boathouse must be se: 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 rwuirement.
I dQ wish to waive t ..at setback recuir.=mLent.
DESCRIPTION AND/OR DRAWLNG OF PROPOSED DEVELOPNIE`T:
3 . (To be filled in by individual proposing development)
11'r__r,_d
i na e
L . iOSON
Pant or T pe Name
Tei-phone Number
Date: 1�76/e_1

: z rpAItL.3.,4' PPLOPEA1k uvv iv r.m ox-1. a... ---
(FORA PIERJMOOPING PILINGS1B0ATLfbT1B0ATM0II,SE)
I t��r+rby certify that i own property abiacem to
' (ZVeaie of propert h... r., }
piopeiry Icxated at lsolb� ✓,S' %V,�'
(LuL, Bluck, Ruud, ate-)
�r
('Water-i,udy) (Tuwa and/or Comity)
Tfir hac deacribt:d Pn me, ay SiZiuwtt b,_Iow, the (LdLL'(.Jpmenc I7r) is proposFng At'l:4._ IocaUon,
arid, I hZve no objcctiom to his pmpmsal. I understand that a yier/moarin�
PQIngs/boatiifr/boatheusc must be Se, back a rniritnuin distance of fifteen feet 1,I5',1 from MY are;
Of riparian =dos UnIeSS WFiiwe by me.
I 42not wish to WC1 Ye the sr -.!back icuuirement.
I .do wish to wadvt ti-,at stsiback require-emt.
DFSCRIPTION AND/t7R I) AWWG OF PROPO5kj:> DEYELOPtirF` i :
1 (To b�+ fill�rl in %v indzvidualpmpcsing drvdlopmeru)
Sig:�ah arc —`�
Carolyn M. Overton
Prim ur Type IvAme
252-443-2019
Te!ephrsmr IV,,mbz'r -
Da,e. August 27, 2001
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