26909_DUBOIS, JOSEPH_20001017

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CAMA and DREDGE AND FILL 26909
G E N E R A L
PERMIT 41"
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.)
Type of Project Activity
State
and attached general and specinc conaitions. Any vioiauon or mese 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.
Phone Number
zip
issuing date
applicant's signature
permit officer's signature
expiration date
attachments
application fee

i'
CDENR
AN .:HUNT JR.
.BILL HOLMAN
„q.SECRETARY
OIJNAD. MOFFITT
���DIRECTOR
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NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF COASTAL MANAGEMENT
October 24, 2000
Joseph A. Dubois
8425 Brandonhill Court
Cincinnati, OH 45244
Dear Joseph:
Attached is General Permit #C-26909 to construct a 85' X 6' pier with a 15' X 15' "T", and to
install 100 ft. of rock rip rap at 2040 Mason Lane, Morehead City, in Carteret County.
In order to validate this permit, please sign all three (3) copies as indicated. Retain the white
copy for your files and return the yellow and pink signed copies to us in the enclosed, self-
addressed envelope.
Your early attention to this matter would be appreciated.
Sincerely,
Tere Barrett
Coastal Management Representative
TB/rcb
Enclosures
MOREHEAD CITY OFFICE
HESTRON PLAZA II, 151-B HIGHWAY 24, MOREHEAD CITY NC 28557
PHONE: [phone] FAX: [phone]
AN EQUAL OPPORTUNITY / AFFIRMATIVE ACTION EMPLOYER - 50 o RECYCLED / 10% POST -CONSUMER PAPER
DENR TOLL FREE HOTLINE: [phone]

PQVv Jo� E H AU*Y - V�'° 1/2610 2588
VALERIE S. DUBOIS OGOOOOQ67783
8425 BRANDONHILL CT. PH. 513-388-9595 Daft3 -c—X `Cl ,� J
CINCINNATI, OH 45244
Pay : 1(- • - -- -- s c _
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to zro sf,p� A Z). 8 o /ss
(Name of Property Owner) / �l
property located at r o2 Jdf cif as !' 3 /�7
Lot, Block, Road, etc.)
on yPr- , in U/l d dam/ ,�r , N.C.
aterbody) (Town and/or Cou y)
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
pi.lings/boatlift/boathouse 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 dD wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOP:vIENI-:
(To be filled in by individual proposing deveelopment)
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Signature
Print or Type Name
yiZI - 3 7� - LjAF
Telephone Number
Date: XXI

ADJACENT RIPARIAN PROPERTY OWNER STATEINIEN"T
(FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to T— -� A . ,J �c_ 61' 's
(Name of Property Owner)
property located at rff//7f
(Lot, Block, Road, etc.)
/v Ct� G�
on } �/ � �'r� , in ✓%�c)iPh�Q d /Ol.�/�asL�� �. �� r �v�-7 >a. , N. C.
( aterbody) (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
pdngs/boatiift/boathouse 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.
V I d4 wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
j (To be filled in b ikividual proposing development)
or Q� ✓ei^ V1v- IK,S
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Signature
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Print or Type Name
'�Qs�—ay0 0-2
Telephone Number
Date:
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