13160_GUSTKE, SUSAN_19940915

CAMA AND DREDGE AND FILL c '
GENERALS
�V
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC
Applicant Name 2 �- `-,„ -> t",4 s, Phone Number It
Address f , +"-1 71
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity !
-,
s i f �• f P i^ C j/� �
PROJECT DESCRIPTION SKETCH,
Pier (dock) length %� I
Groin length
number
Bulkhead length
'ax. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
i:� •fit
f
J
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 be-
come null and void.
This permit must be on the project site and accessible to the
permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that 1) this pro-
fs consistent with the local land use plan and all local
antes, 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.
State
Zip
(SCALE:
-�
applicant's signature
permit officer's signature
a f�
l issuing date expiration date
attachments �� 9
application fee'G��

u
3023
COASTAL MARINE CONTRACTORS
PH. 919-638-6407
1897 JACK RABBIT LN. 66;i t2t2
NEW BERN, NC 28562 15 pp � 531
19
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li'000030 23u' i:05310 1 L 2 0: 11911 2?9 23►i'

ADJACENT RIPARIAN PROPERTY OWNER STATEYIENT
I hereby certify that I own property adjacent to Dr, �y"&/ 6u-,1ke_
property located at L07- 1 0 % Dr.
(lot, block, road, etc.)
on (AA "14-ke r Cre-e L in 1,2-uIaJ
body o water town
North Carolina in 19mz_c0 County. The proposal has been described to me
as shown below; the development, ier bulkhead structure, and the proposed
circle one
location, and I have no objections to the proposal. I understand that if the
development is a pier, it must be set back a minimum distance of 15 feet from
my area of riparian access unless waived by me. I do do not)wish to waive
(circ e ne)
that setback requirement.
Description and/or drawing of proposed development: Indicate the size and
location of the structure and the distance between each property line and
the water.
� � �a kQ t L ce�_
(original must be retained in
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arhe please print
##########################
department)

. . .
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 'Or G�>1-f
property located at LciT 10 14 iAlE1JlEcc> Dr
1I1j ! lot, block, road etc.
on W64yT���'-Y �'���e in brie.,-)
body oX water town
North Carolina in A,-- e-P County. The proposal has been described to me
as shown below; the development,gal:r�ulkhead structure, and the proposed
circle one
location, and I have no objections to the proposal. I understand that if the
development is a pier, it must be set back a minimum distance of 15 feet from
my area of riparian access unless waived by me. I d9Zdo not Dish to waive
(circ e one)
that setback requirement.
Description and/or drawing of proposed development: Indicate the size and
location o;f the structure and the distance between each property line and
the water. K'Puerse
u,T �-�T
(original must be retained in
L A,�Qkd
Z na
De, e
/inspectdepartment)
91/1
ure and date
lease print

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