28926_DANTZLER, LEE_20010822

#t(
CAMA and DREDGE AND FILL G E N E R A L _2S926 C,
ti
P E R M I T
5
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
Address
City
Project Location (County, State Road, Water Body, etc.)
State
Type of Project Activity
PROJECT DESCRIPTION
Pier (dock) Length
Groin Length
number
Bulkhead -Length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
Phone Number 4//0-- L/6,/- `f��
zip
This permit is subject to compliance with this application, site drawing
and attached general and specific conditions. An violation of these terms —`— Yp ��
g P Y applicant's signature
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-J permit officer's signature
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

66-85/531 3769
SANDLAND, INC. 1343008308
105 GREAT NECK PH. 252-447-5898
ADAMS CREEK oZ _
HAVELOCK, NC 28532 DATE
` PAY TO THE .t' �� /� /� fj, c
W ORDER OF
s
DOLLARS'
Y
ESTEEM
Centura Bank®
L7,9- 2 2J 47,4Vvelock, NC 28532 p
MEMO
1:0 5 3 L008 501: L 3 4 3008 30811, 3 7 69

I hereby c artify tba,t i owro property adjacent toff tee -L
rYd at L.f 9i w den s �o �S
(lot., bl� �rro�a�l.
y oiwater) .
ttOsn)Morth CArolina in County. ro pr
Aegn da .crib*d to
me as ate b*lov; the dgvelopwont, a � �. o—, and the
Proposed location, and I have not Obj ion t* terra PcOPOSal. l Undor—
stand that if the davelopmomt is a pier, It Oust be set back a fain imum
dest&nce o 15 Feat fr*z my area of rfpara�an access unless waived by
I p -.. Isla to waive that sat,back r"Irament.
,'Cir. on
��*���r*��r�a�r��r�t�r��r�r*+��r�e,���r�***���,����i�,���w��►�Aa��,�A�*������������,��rw��*��f�
Description and/or drawing of Prop000d dsvelopmAnt= (to be filled in by
illdiwi+dual proposing development) . iNDICATZ THE SIZE AND LOCATION OP THE
STRUCTM AnD T1jl; DISTAncE BETWMM EACH PROPERTY LINE AND THE WATER.
l
Ina1(s�
J-t1�tXCaQS)LI �1{lleVYUQt/ — l7dL[yn5 CVPe k-
1a11YA#i�A�r'AAir�6iiiAiArltN#dr##l�klir#f�#yttRif'iftfAft#iRitiillr!*#r9liltfff!#i#iiiiA#i##
(Origina i fit, be retain in the Ins tiv rat
oz i
JA &.e-s
Na3m (]?lease Print �

ACE
I herebycertify own property adjacent to ti
property located at I i �✓1 S �� Q �� iWS D d' �� vQ
�e � A,ih ��� (lot, block r�n r etc) � /e
on (town)
ody of water
North Carolina in_1t� County. T::49
s been described to
me as shown below; the development, a ct re, and the
ne)
proposed location, and I have not objection to the proposal. I under-
stand that if the development is a pier, it must be set back a minimum
%stance 15 feet from my area of riparian access unless waived by me.
d o ish.to waive that setback requirement.
(c1 cle on )
Description and/or drawing of proposed development: (to be filled in by
individual proposing development). INDICATE THE SIZE AND LOCATION OF TH
STRUCTURE AND THE DISTANCE BETWEEN EACH PROPERTY LINE AND THE WATER.
ev-
VV
, (__ " COo /
MIJ. - "- ly��
Sill k'w-f�'
(Original must be retained in the Inspection Department)
signature
Date
Name (Please Print)