28841_HADLEY, REED_20010816

A t I (n
/ JJ1v1Vf V }
CAMA and DREDGE AND FILL
G E N E R A L V841 r
PERM IT
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 r Phone Number
Address
City
Project Location (County, State Road, Water Body, etc.)
r
Type of Project Activity
State zip
PROJECT DESCRIPTION SKETCH IV,
Pier (dock) Length�f!
' +' _ s''T
II f t r
i,• (! P i M
0�+ ;11f"
R k�i.
iL
}
`
//
I�
(SCALE:
{
/j(n
K
+ c 1� ,r. f, �
)
Groin Length r,
number k....
Bulkhead Length
max. distance offshore i
1,
Basin, channel dimensions
_.. .... ; 7
`
j
AL
},
LA
i u ! ,
cubic yards f
Boat ramp dimensions
.
;
other
,1,
This permit is subject to compliance with this application, site drawing T2 _0A:J
and attached general and specific conditions. Any violation of these terms applicant's signature
may subject the permittee to a fine, imprisonment or civil action; and S
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 issuing date expiration date
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. attachments
In issuing this permit the State of North Carolina certifies that this project
is consistent with the North Carolina Coastal Management Program. application fee

�,.c hncn yr I nc uv%'vintN I uNANUES GULOR GRADUALLY AND EVENLY FROM DARK TO LIGHT WITH DARKER AREAS BOTH TOP AND BOTTOM
J1'J�1'► rjhl�rJ'1�1T, 1
NOT VALID OVER $1,000.00 0,17 7 9 9 8
ISSUING BRANCH `'?:1' i�i0 r a }�, ea �� C. i t.,+ hi _i. =� n-6i t. ',:x I
DATE i Il,li U:=;'i y2,001 93-541/920
PAY TO THE If / 4 - ORDER OF
LINE I;L_Ip•al"i4: l? ?I'IL.LI::IF<:: I-�PdI"
DOLLARS BY SIGNING YOU AGREE TO THE SERVICE CHARGE
-D-n 0 y ry AND OTHER TERMS ON THE REVERSE SIDE.
"13
DRAWER: TRAVELERS EXPRESS COMPANY, INC. _ �J S � ` M
P.O. BOX 9476, MINNEAPOLIS, MN 55480 /�• D. UQR HA$�F�/�1�1�1ER FOR DRAWER
DRAWEE: FIRST INTERSTATE BANK, HELENA, MT
ju
PAD L
_!._o�_._ _--
CITY 8 STATE
lit 6017799B11' 1:0920054111:01707101,5109211'
0 THIS DOCUMENT HAS AN ARTIFICIAL WATERMARK PRINTED ON THE BACK, THE FRONT OF THE DOCUMENT HAS A MICRO -PRINT SIGNATURE. LINE AND BORDER. ABSENCE OF THESE FEATURES WILL INDICATE A COPY.
ft

• ��-+ 7�� ,yy 1C7�?f'j ,sii�3 \� 1\J�1R ` ii.�i
(FOR A PIEFUUNtr DVERE'D BOAT I.;IFT
I hereby ce dfy that I own proper:;/ adiacent to t- L's
(, me of Property caner)
property located at 14D DAZ-\ 0
(Lot, Block, Road, etc.)
c n :M �rl D 7 in �1-A7`f T) c �� t N. C.
(W(Waterbody) (Town and/or( County)
He has descnbed to me, as shown below, the develepr'¢pent he .s proposing at that
location, ard, I have no objections to his proposal. I understand lihac a pie:1uncovered boat lift
must be set back a minimum distance of cif een fit (l5') from my larea �
waived by me. JA
�.-M V E,
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
JUL 2 6 z001
MOREHEAD
DESCRL 0-N -N-DOOR DRAY-/T G OF PRO POSED '.DEVEI.OP_NMN-T:
(To be felled in by irza:vfdual proposing deveLpmerzt)
�qtS�
e © `f
zjF-------------------------
P Lr9PK
ew6g-0
LI t,16
ofawl'
0
�l� r
---------
--- LJ f L
Ayz
Signa^.ire -
Prim or Type Naune
Telephone Number
Date: y ��

I t ;
rr
s �,j t�1L.� 1 JtYy�_ riil:i1Y Y .a� s'' S i\1 ! 1\�j� ;4s �°_�i .i
(FOR A PIEF I EW C O VERE'D BOAT LIFT
I hereby certify that I own proper-,/ adjac�.nt to?C0_ 'qz>LZ�l ,s
(N' me of Property Owner)
property located at Pt'm'D Ole
(Lot, Block, Road, etc.)
on
(WWaterbody) (T i and/or. County)
He has described to me, as shown below, the development he ;.s proposing at that
vprP 4 ho t lift
location, and, 1 have no objz--dons to his Croposal. I understand 1�:a --=-_ ...
must be set back a minimum distance o� ri tern :mot (I5') from myna- � s s
waived by me.
JUL 2 6 2001
1 do not wish to waive the se'.back requirement.
I do wish to waive that setback requirement.
DESCRLp'I'ION A-'t-D/OR DRAVYE`'G OF PROPOSED. DE'VEI-.OP_-1'fENT:
(To be filled in bt indevidual proposing devei�pmerzt)
rl
13
L 3 -�
qq*q
Telephone Numb(�r
Date: 5

Ail/: a •+-�
-D Aqz) Ltz-�
/cR-')- -P�w-b 2v— / 'i e
fff-t-4W
Y fr