27534_CURRIN, GERALD_20010129

CAMA and DREDGE AND FILL,
� G E N E R A L ..,,_..�
534
P E R M I T rE1 410L,4,.
as authorized by the State of North Carolina / Ps�l 7_0l21�,'w'
Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC�
Applicant Name Cl-A Phone Number "1q• 552' 0553 ?
Address
City State zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity �' ' fWel• d
PROJECT DESCRIPTION
Pier (dock) Length
Groin Length
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards J. t
Boat ramp dimensions
Other
11115 IJe[MIl IJ JUUJtAA lU I.VII11Jn011l.c vviui II nJ CXFF �. '-.'/ - , . rvn r,
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.
issuing date
applicant's signature
permit officer's signature
expiration date
attachments
uq,co i,tvo 1845
application fee

ERIC B. ELLIS NCDL 65047 r 1875
JASA M ELLIS PH(252)726-6775'���1•`;�`'
l �/ •".; 205 NOTTINGHAM DR. �`�%` X` 4 66-30/533
MOREHEAD CffY, NC 28557 Date
Pa�"�` I $ �c'S O Cow
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CITIZENS 137
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_ - - GUARENAN®SAFM BLUE ESBL

ADJACENT RIPARL-'V PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to �L'��C� v� ���� 's
(Name of Property Owner)
property located at
(Lot, Block, Road, etc.)
on �� ivQ , in&z,/, i`�-6�c , N.C.
(Waterbody) ( own 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
p ags/boadift/boatho use 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 requirement.
y I d2 wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWLNG OF PROPOSED DEVELOPtifE-Ni':
(To be filled in by individual proposing development)
6 ,
1 �
�r 'S i
Signature
�dw'r%x/ Print or Type Name
Telephone Numbe.
Date: �I 4z S- 4o i

ADJACENT RIPARLX PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGS/BOATL MBOATHOUSE)
I hereby certify that I own property adjacent to ,4%� w ��� �� 's
(Name of Property Owner)
property located at '�.2 Y Z-;"6 c'J -L-7- "
(Lot, Block, Road, etc.))
on ��� �✓ �t , in /��1,,,4" cZ 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 pier/mooring
pilings/boatiift/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 requirement.
I d-Q wish to waive ti.at setback requirement.
DESCRIPTION AND/OR DRAWIi iG OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
Signature
SEAL /1 ",F W l �i A lyt <
Print or Type Name
Telephone Number
Date: