27079_DUDLEY, CRAIG_20010111

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CAMA and DREDGE AND FILL
G E N E R A L �'��'��'
P E R M I T
as authorized by the State of North Carolina 1�6 1/
�94
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
PROJECT DESCRIPTION SKETCH
Pier (dock) Length
Groin Length
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
State
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.
Phone Number
zip
(SCALE:
applicant's signature
permit officer's signature
issuing date expiration date
attachments
application fee

PERMITTEE
LOCATION:
MONITORING & COMPLETION REPORT
[CAMA Major Development & State Dredge & Fill Permits]
,
'S NAME: PERMIT #
► FIELD REP.
v
PHONE: 2;)� DATE REPORTEDLY COMPLETE: V /0
DATE OF INSPECTION /C)
dimension
th easured ns o the de development differ from those indicated in the permit and workplat?
Y O circle one].
COMMENT:
2) SEDIMENTATION & EROSION CONTROL: Has Permittee seeded, grassed, or otherwise stabilized all
disturbed areas? YES/NO [circle one]
COMMENT:
3) FUTURE MONITORING & ENFORCEMENT ACTION: Is further investigation or enforcement action
needed? [circle one].
COMMENT:

OUTER BANKS BOAT HARBOUR, INC.
P.O. BOX 152 PH. 252-728-6004
HARKERS ISLAND, NC 28531
Pay to the
Order of_
2757
Date-/ - If- 61/ 66-112/
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BB&T
BRANCH BANKING AND TRUST COMPANY
BEAUF FIT, NORTH CAROLINA
For �c�{�P��`Sl�1�l `
1:05310L12WSLL9g62363116 2757
Dollars 8 �
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ADJACENT RIPARLAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to ;1 �tiv �e_'s
n(Name of Property Owner)
ro located at I
r>xm�
(Lb�ck', Road, etc.) u v
on c% , in ��� , N.C.
(Wat body) (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
pdings/boatlift/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 wish t0,,waive that setback requirement.
DESCRIPTION &Nf)/OR DRAW&G OF PROPOSED DEVELOP.-VIE\-T:
(To be filled in by individual proposing development)
Signature l
Zu &7�- Xe-
Print or Type Name t /
Telephone Number
Date:

ADJACENT RIEPARLAIN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to e "2 's
(Name of Property Owner)
o-�
property located a
(Lot, Block, Road, etc.
J
r1,
on �.,;e. �� of , in �ce� , N.C.
(Wat rbody) (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
pidngs/boatlift/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 J-Q wi to waive that setback r 'rement.
DESCRIPTM AND/OR DRAWr G OF`PROPOSED DEVELOP.-vIEN-T:
(To be filled in by individual proposing development)
0 (I — b(�' '11�
Signa re
Print or Type Na e
Telephone Number
Date:

Location:r—� Vl� Field F.Ep. �—
Phone: 2 — .�G Date of FEoort:
Description of Project:
Date Project Reportedly Comp3"'ete :
(1)' Do the me_sured dimensions of the d v
indicated in the permit .and (5kplat?,
conditions been satisfied? / No
COr=NT :
Elopment iffer from those
Yes Have all permit
(2) CE?irE?"i�E�lOn ariC Erosion Control: or c Lrier'ri lss s i 1 1_ZEQ all Cls �LrLed arcs : NG
C O?�'f-E N T
(3) Future Mcnitarinc and enforcement- T _
PC- n Is fury= ET' i rvcS tlQatl0P_
Or E '�'
:lforcement action needed? Yes N
CO NT