27841_GUTHRIE, WALTER & NELSON, JEFF_20010411

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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
Address
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
IPROJECT DESCRIPTION
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
issuing date
applicant's signature
permit officer's signature
expiration date
attachments
application fee

GUTHRIE WOODWORKS, INC.
[phone] 97710
2 F
P.O. BOX 1068
WATERTOWN, MN 55388 ,F 17-1/910 .
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® 1.
J,M. DeWb LI illy F0 MI.
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WELLS FARGO BANK MINNESOTA C(�'
MINNEAPOLIS, MN 55402
i:09 10000 19409969 244 270 9770
OARTISTIC CHECKS, INC. 1 804-II24-7837 wwW.�rllllltc�etkf.Com - r} I '' I')ici ' ;.�.:,; TE1(Tu RiS I1377

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFTIBOATHOUSE)
I hereby certify that I own property adjacent to A14V - 6AI rs--� 's
(Name of Property Owner)
property located at U &V b( vbi-n� 6A4 G h . 3
(Lot, Block, Road, etc.)
on �, S S6�i�in r� �-f 5 (6����Y1.S , 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
piags/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 da wish to waive that setback requirement.
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DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development) &
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Print or Typd Name
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Telephone Number
Date:l7cr/�O

Aug 30 00 01:54p G & R HRRVEY 919-782-0549 p.2
FROM : OUTERBANKS-EAFOOD COMPANY INC PHONE NO.
Rug. 2P 2000 06:45Pm *'1
ADJACENT RHAMAN PROPERTY OWNER STATE-N EN1"
(FOR A PIER/MOORING PILINGS/80ATLdFT/80ATHOUSE)
I hereby certify that I own property adjacent to Is
�}
(Name of Property Owner)
property located at �� / OY pol'
(Lot, Block, Road, etc.)
on M.krA-S O Qt Wa �stfa1iS ?owns e , N.C.
(Waterbody) (Town and/or County)
He bas described to me, as sbown below; the development he is proposing at that location,
and, I have no objections to his proposal. I understand that a pierlmooring
pilings/boatlifVboathouse must be sm back a minimu-n distance of fifteen feet (I5') from my area
of riparian access unless waived by me.
I too not wish to waive the setback requirement.
I do wish to waive that setback requirement_
DESCRIPTION AND/OR DRAWRgG OF PROPOSED DEVELOP,'4EYr,
(To be filled in by individual proposing development)
w (4A 5 t VUQA k -tti @ iA--*M Di t..Q-k- o'Z� )6 t
P1 H a 10 t -tb arc.
o§ ion 01 which is owner bt�- Ann -�JJ Ac� f(vc,4�- .
I � t
LoT E UH-6 t It
t-aT It
Signature
Print or Type Name
919 - 8a?- o g4g - ram. Sr --are_
Telephone Number
Date: — vl9 00

IMPORTANT MESSAGE
FOR''L
DATE Q TI M EIL- d P.
OF
PHONE
AREA COOE NUMBER EXTENSION
❑ FAX
❑ MOBILE
AREA CODE NUMBER TIME TO CALL
jTELEPHONED PLEASE CALL
CAME TO SEE YOU WILL CALL AGAIN
WANTS TO SEE YOU RUSH
RETURNED YOU " SPECIAL ATTENTION
MESSAGE
c ,e 0/ P�-� dJ,� CIA,
//' c � � I AIO*' ni D1 T i -
SIGNED

MONITORING & COMPLETION REPORT
[CAMA Major Development & State Dredge & Fill Permits]
cl
PERMITTEE' S NAME: PERMIT # -1
LOCATION:
a
PHONE:
DATE OF INSPECTION
FIELD REP.
DATE REPORTEDLY COMPLETE: O
1) Do thptTasured dimensions of the development differ from those indicated in the permit and workplat?
YES"circle 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? YES O circle one].
COMMENT:

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