27034_ENZERINK, JERRY_20001214

41 1W 'Por 0)
CAMA and DREDGE AND FILL
G E N E R A L � 27C34 -�-� '
P E R M 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
t
L
{-
(
(SCALE:
Groin Length
number
Bulkhead Length
max. distance offshore
\
L
Y
i
9r
Basin, channel dimensions
cubic yards
Boat ramp dimensions
t I
c !
��
L)
F'
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
applicant's signature
permit officer's signature
expiration date
attachments
application fee

PAY
TO THE
ORDER
_. ...,, ,_, .. n ,_z ,.m,_� rmm ra+nmv, v_i,NRI ,� u, r r u n h n n r �• A d n' a 6 � r
PRESCOTT BROTHERS INC
141 TARA TRL
ARAPAHOE, NC 2851A
DATE---L��_.__ UCj 66-30/531
1 471
s�--
C(•M1M1M1__IT/111I7S.CN�S <7,
+ DOLLARS
BANKF. s Trust Comayay)o)ro.N, C.28515JYii FdjJOLCt
FOR 11000 L396ii':053 L00300�:0047 L L 25L, 7;3
- V,
1396

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to , ' �� 's
(Name of Property Owner) J
property located at x1'e, j'L'(/�}'V� LiG 12 rlk
(Lot, Block, Road, etc.)
on l/y�, ��� %"�� / irl r>i>�c , in C ��� ��it L , 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/mooring
pilings/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 d-Q wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPM —N-T:
(To be filled in by individual proposing development)
Signature
14� ICY�&X_
Print or Type Name
`2-,6� �- 7,�,j- 612 �
Telephone Number
Date: A6 6 Z,--uU

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to < 's
(Name of Property Owner)
property located at /V/A4r WV C� h
J(Lot, Block, Road, etc.)
on �� 1 e1L 61"& , in f/ , N. C.
z
(Waterbod y) (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
pilings/boatliftJboathouse 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 dQ wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
Sig tore
Print or Type
Name
Telephone Number
Date: 6 z

ZL
Sales • Property Management • Appraisals • Development
Cb px"Ou
7]L N44'-0-'6.
E,7,4.� C W�� -�6) 4 .6t4� N- ��
(z r(4(E) t
Post Office Box 750 • Oriental, North Carolina 28571 • [phone]
www.pamlico-nc.com/mariner
® Printed on recycled paper 800-347-8246