27054_CLARKE, DALE_20001109

CAMA and DREDGE AND FILL
G E N E R A L 27054 +�
PE R M I T &-N rtL 3t .Tiio9i-5A
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 f tc,
Applicant Name `,Alf Ct.At?t'=E Phone Number
Address j", FdT
City TA U b. A State zip 7 7 7, ;�
Project Location (County, State Road, Water Body, etc.) roc (,I to j14
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41 1440y,
Type of Project Activity 5"' : ` L ooJ " 3-0 for Y
PROJECT DESCRIPTION
Pier (dock) Length
Groin Length
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other'f�-
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
permit officer's signature
`1 Cc
issuing date expiration date
attachments
application fee

SAMMIE EARL TURNER
CONSTRUCTION ACCOUNT 1751
P.O. BOX 369 252-247-6830 /
MOREHEAD CITY, NC 28557-0369 c �` `l0`(i� 66-112/531
�u/�• 02301
n�/rite 8+
BB&T
BRANCH BANKING AND TRUST COMPANY
\MIODDRE�HE�AD�CITX, NORTH CAROLINA
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ADJACENT RIPARIAN PROPERTY OWNER STArI�k.�i ENT
(FOR A PIERIUNCOVERED BOAT LIFT)
I hereby certify that I own property acljacent to �uC_ ,
(Nsrne of Property Owner)
property located at --
(Lot, Block, Road, etc.)
on fY\O/Y\ d)Qj::gk in - -- --- -- 1`+.C.
(Waterbody) (Toand/or County)
He has described to me, as shown below, the deve!opment he is proposing at that
location, and, I have no objections to his propos, . I understand that a pierilincovered boat Lift
must be set back a minimum distancrz of fifte'n (t5') from my arpa of riparian access unless
waived by me.
I do not wish to waive the se�back requirement.
✓ I do wish to waive that setback requirement.
DESCRLPITON kN-D/OR DRAwZvG OF PROPOSED DFVFI.OPNUL Nlb
(To be filled in by individual proposing developme,71)
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�� Sign it
lcur
Print or 1 vT-
Telephone NrurnhPr
Date:

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIUNCOVERED BOAT L1F7)
I hereby certify that I own property adjacent to �(
- - 5
Q (Name or-i rN� rty Owner)
property located at
(Lot, Block, Road, etc.)
on CY�o�o C
(W'aterbody) (Town and/or County)
He has described to me, as shown below, the deve!opment he is proposing at that
location, and, I have no objections to his proposA . I understand that a pieriiincovered boat lift
must be set back a minimum distance of ritte-n fE--t (15') from my area of riparian access unjess
waived by me.
0 2000
I do not wish to waive the setback requirement.
✓ I do wish to waive that setback requirement.
DESCRIPTION kN-D/OR DRAK'Z1iG OF PROPOSED DF-VFT-OPNJE.N-r:
(To be flUed in bv individual proposing development)
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Si--
�Ps � --
Prin or 1 v NimP
Telt!phem! NumhPr
Date:---

ADJACENT RIPARIAN PROPERTY 01'VNEER SUATFAWNT
(FOR A PIERIUNCOVrPHD BOAT LIFT)
I hereby certify that I own property adjacent to.
(�+ame of Property O�'ner)�
property located at (`� 4- i� • - - -- — 1-` ----_
(Lot, Block, Road, etc.
on�C o in - ----- — i'+ . C .
(Waterbody) (Town and/or County)
He has described to me, as shown below, the devc!opment he is proposing at that
location, and, I have no objections to his proposal. I understand that a pier/lmcovered boat lift
must be set back a minimum dista.nct of ntte-n fe-t (15') from my area of riparian ac;.--ss unless
waived by me.
`v 0 9 2000
o not wish to waive the setback requirement.
I do wish to waive that setback requirement.
--------
DESCRIPTION A-N-D/OR DRANN-D G OF PROPOSED DF`VFT_()P%LEN-T:
(To be filled in bv individual proposing development)
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