26985_HOAG, RONALD_20001020

CAMA and DREDGE AND FILL 1�rlr698J
G E N E R A L A; -T F,.& ,�.
P t K M I
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 `' 5 Cf L :f
Address
City State Zip t 2
Project Location (County, State Road, Water Body, etc.)
rri{ r7F S
Type of Project Activity
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PROJECT DESCRIPTION SKETCH
Pier (dock) Length
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Groin Length
number
Bulkhead Length
max, distance offshore ,b
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Basin, channel dimensions
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cubic yards
Boat ramp dimensions
Other
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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,
issuing date
applicant's signature
permit officer's signature
expiration date
attachments
application fee

HOLLY F. MATHEWS
NCDL 6288263 PH 919-757-0107
2813 DRAKE MALLARD DR �J
GRIMESLAND, NG 27837
8875
a Z� r_ 04/2531
urcrs- Z0
ORDER OF
OLLARS
Datalls on Seek.
State Employees' Credit Union
mWqV108 // Greenville, /North Carolina
1:25317 7049o:0a604a8346 iu' 8a 5

ORIGINAL
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual applying for Permit: + °A i
Address of Property: L(AS 3 — t/ �'1 'P[M/vt,-�-h0'-yl St'l xr,,
P rh'• ,
7 r
(Lot or Street #, Street or Road, City & County)
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
j< _ / I have no obiections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, Hestron Plaza II, 151-B, Hwy. 24, Morehead City, NC, 28557 or call (252) 808-
2808 within 10 days of receipt of this notice. No response is considered the same as no objection
if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings; breakwater, boat house, lift or sandbags must be
set back a minimum distance of 1 5' from my area of riparian access unless waived by me. (If you
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 1 5' setback requirement.
I do not wish to waive the 15' setback requirement.
x A-M Q\ -
Signature -late
F (
Print Name
Telephone Number With Area Code

i
ORIGINAL
� � 1 ` It ► L 1 ! 1
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual applying for Permit: KeMl �LJ V1 D'�? K r-�s
Address of Property:
ProP e
l t fit a 5(A ✓I,S-e i' �t'►�/� � /l eif F'/� I, Vl. Owto-rd �—r L -Vl>'Z1
(Lot or Street #, Street or Road, City & County)
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
Ak' I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, Hestron Plain II, 151-B, Hwy. 24, Morehead City, NC, 28557 or call (252) 808-
2808 within 10 days of receipt of this notice. No response is considered the same as no objection
if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be
set back a minimum distance of 1 5' from my area of riparian access unless waived by me. (If you
'wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 1 5' setback requirement.
sI do not wish to waive the 15' setback requirement.
Sianature (� Date
Print Name
�qqo) s wa,- n c R!
Telephone Number With Area Code

SEP-07-2000 09:57 APi EMERALD ISLE REALTY 252 354 2355 P.06
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N/F DENSE K. ANDERSEN
AREA-
13,038 sgrt. +/-
N/F G. S. KING
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REFERENCE, OWNER.
OB 759 RG 7" KATHRYN R'11 HYKE S
MR 3 PG 117
PHYSICAL SLRVEY FOR
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