28982_DORSEY, RON_20010926

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CAMA and DREDGE AND FILL
TP
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
rvc
City State zip
Project Location (County, State Road, Water Body, etc.) �p c-
i
11
I
Type of Project Activity
PROJECT DESCRIPTION SKETCH ! f PT (SCALE: AI 411' )
Pier (dock) Length , Is:.r 1„ r ( i b' , r > ' t , c{ ! tl (t
Groin Length
number
Bulkhead Length
max. distance offshore 1 i
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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.
X
issuing date
applicant's signature
permit officer's signature
expiration date
attachments
application fee

OUTER BANKS MARINE CONSTRUCTION BB&T 5056
P.O. BOX 1988 BRANCH BANKING AND TRUST COMPANY
ATLANTIC BEACH, NC 28512 MOREHEAD CITY, NC 28557
66-1 12/531
[phone] 9/25/2001
PAY TO THE I s **200.00
ORDER OF D.E.H.N.R.
Two Hundred and 00/100***********************�>k���**��**�*********
— — -- - - -- - ---- --- DOLLARS
- --- _ -- Security lealures
t included.
Details on back.
D.E.H.N.R.
MEMO Va pala--------Dorsey
II'005oSCux i:05310112It: 123101529511'

1501 First Avenue, Morehead City, NC 28557
[phone]
OUTER BANKS
MARINE CONSTRUCTION
DOCKS - SEAWALLS - FLOATING DOCKS
Dealer for Tide Tamer godtfifts N
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2001
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIUNCOVERED BOAT LIFT)
I hereby certikthat I own property adjacent to I`v�2sb ,s
(Name of Property Owner)
property located at ���� `—
p (Lot, Block, Road, etc.)
on Il��v�� in �I1�� C N.C.
(Waterbody) (Town and/or County)
He has described t 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/uncovered boat lift
must be set 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 do wish to waive that setback requirement.
-----------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
-------------------
Signature
1-6--r egf- =S� ,4r'
Print or Type Name
f--7,-
Telephone Number
Date: �1'5 %a

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIUNCOVERED BOAT LIFT)
I hereby certify that I own property adjacent to Tc)o I
(Name of Property Ow er)
property located at d
(Lot, Block, Road, etc.)
on '.DG-�e
-, 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 pier/uncovered boat lift
must be set 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 do wish to waive that setback requirement.
--------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT;
(To be filled in by individual proposing development)
bSe
Print or Type Name
g /Cy%g--yg
Telephone Number
�
Date: