28178_HALE, SANDRA_20010724

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 StateZip
Project Location (County, State Road, Water Body, etc.) Jy '7t dry. r�, 4 Rd
Type of Project Activity
PROJECT DESCRIPTION SKETCH A ' r ... ; r
Pier (dock) Length l r i ,, � 1
Groin Length
i) J
_
k:
r. .
t
(SCALE:
Alt 1Vr-
)
number
t
Bulkhead Length
max. distance offshore
mm
Basin, channel dimensions
..........
cubic yards ..........(
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._..
(_._..
.�..,....�,
m _.
.,.. _._
Boat ramp dimensions ?
Other..,, _ _._...i............_ _..._..m.
3
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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.
A I
applicant's signature
permit officer's signature
issuing date expiration date
attachments
Y/Ic r
application fee

A
PAY
TO THE
ORDER OF
Gie
SHORELINE MARINE CONST
ASHLEY BROOKS NCDL-7666496
PH 646-3212
PO BOX 5173
EMERALD ISLE, NC 28594
EA I:z
wtf "s/ 7g, 28010606
1
DATE -7bl/z) 66-152/531
$ /00, 00
_WKCIIOVtA
Wachovia Bank, N.A.
NC 28557
IAA L&
2130 10 CO 61"
FOR tA. - S 3 10 15 2 9 1 S 11 E30025 it,
mo
NP

07/19!2001 14:39 252--247-3539 THE GARDNER GROUP PAGE 02
ADJACENT RIPARLAN PROPERTY OWNFER STATEN ENT
(FOR A PIER.IMOORJ.NG P121NGSIBOA77-1FT1Ba,4,7W06,Sr
<47 - 5? 72
I bereby certify that I own property adjacent to 'g'*)J>A" � 's
(Name of Property owner)
property located at Q 740- PAIlLi
�Lct. Block, Road, etc.)
(Waterbody) (Town andlor 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/boatlif/boathouse must be se: back a minimum distance of ffreen frrr (1� '� fro r. my 3r
of riparian access unless waived by me.
I do not wish to waive the setback requirement.
I J:U wish to waive czar setback re uirernent.
DESCRLYrIO:V A.N-D/OR DRAWr G OF PROPOSED DEVELOPMENT:4�
(To be filled in by individual proposing development)
/r
TEE - iC> A- Per
Signature
t-1 ",I T , >� � (V Y H 6-
Print or Type Name
:19 +i -- `f / -�
Telephone Number
Date- D % o of

,I h /4,VC5 4�

e /19/200'1 14:313 252--247-3539 THE GARDNER GROUP PAGE 01
ADJACENT R- PARLUN PROPERTY OWNTER STATENiEN-r
0101R A PIER,/ i1061RrVG P1Z1,N'GX1,g0A _7ZI T1 g0A TF1c?G-SE j
247 —5�7
I hereby certify that I own property adjace;t to 5ALWA {,G, 's
(Name of Property owner)
property located at PA"
fLot. Baock, Road, etc_)
{Waterh+ady) (Town and/or County)
He has described to me, as s`:own below, the development he is proposing at tl�,at location,
and, I have no objections to his proposal. I understand that a pier/mooring
piiinusfboatl.ift/boathouse must be se: hack a minimum distance of fifrce:, fix► (?;') LTvm my arm
of riparian access unless waived by me.
I do not wish to w,a ve the setback requirement.
I do wish to waive t: at setback requirement.
DESCRIPTION AtiZ7/OR DRAWING OF PROPOSED DEVE>L,OPMEN-17:
(To be ,died in by individual proposing development)
taFT ! P►W
xi
'>R.v pvSbb FWC, t, E Pr---
Signature
Print or Type Name
'�' Z;J__;1 _ /lc
Te'fphare Number
Date_ , /'