28114_ELLIKER, IVOR_20010713

CAMA and DREDGE AND FILL
G E N E R A L
PERM I T
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
City State - zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION
SKETCH
Pier (dock) Length
�,4. ,.
?
Groin Length
number
Bulkhead Length
max. distance offshore
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.
issuing date
(SCALE: )
applicant's signature
permit officer's signature
expiration date
attachments
application fee

A
_ t S ee Fa ck or del ai Is.
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ARAPAHOE, NC 28510 66-30i531
DATE an
PAY
TO THE
ORDER OF
/V DOLLARS B`
FIRST CITIZENS 471
BANK�I First-0itlzons Bank&Trust Company J. �I /�'\!,)`�(,\! `Nl
Bayboro. N.C. 285 5/ Nrrp
® FOR — —
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(FORA i1N`S i QA 4FrBOA2WOL7SE�
I hereby certify that I own property adjacent to ! _/QL L )-)-- I � eK '$
(Name of Property Owner)
Party located at 1 i C; 9 K Ufa-- C 0y R I
(Lot, Block, Road, etc.)
an F at fRr l ,_ L:R 1 :�r+eu d 6 , in N_ N. C.
(Waterbody) (Town and/or County)
He has described .to me, as shown below, the development he is proposing at that Iocation,
and, I have no objections to his proposal. I understand that a pierlmooring
pilingslboatiiftlboathouse must be set Back a minimum distance of tzftecn feet (15') from my area
of riparian access unless waived by me.
I do not wish to waive the setback requirement.
I da wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
T) P,X�� GE . C-E OT
CO Rc� �oc-K
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Signature
4,
Print or Type Name
6o'7-k?o -
Telephone Number
Date: 010

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(FOR A PIERIMOORING PILINGS/BOA7LIFTIBOATHOUSE)
I hereby certify that F own property adjacent to _ _l � � � 1= ► � ; K� � is
(Name of Property Owner)
prop" located at I i 0 of K C-- Pt- C G osz
(Lot, Block, Road, etc.)
on (--RtFr i r-i f xc30 J , in C-�� 2 1�--n r`C •) N.C.
(Waterbody) (Town and/or County)
He has described .to me, as shown below, the development he is proposing at that Iocadon,
and, I have no objections to his proposal. I understand that a pierlmooring
pilingsfboadift/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 d.Q wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
c_-rr 1'7�JRcF-Nr )a �cR'T- �o�►�
Signatur
/H %7 A/ /
Print or Type Name
Telephone Number
Date: Jux) e ii