27950_LAWRY, BRIAN_20010425

•
CAMA and DREDGE AND FILL 2795 —,-Y
G E N E R A L
PERMIT _. •_;,i
as authorized by the State of North Carolina WQt _
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
State
Phone Number
zip '
.,�
`1
t
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.
applicant's signature
permit officer's signature
issuing date expiration date
attachments
application fee

DEREK S SMITH (DBA) NCDL 7836496
MARINE CONST
2220
66-152/531 CC
BOGUE BANKS
800 NORTH GATE RD PH 252 247 4428
/
MOREHEAD CITY, NO -28557 -
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Morehead City, N� 2&557
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ADJACEI T RIPARLAN PROPERTY OWNER STATEN ENT
(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to ert"V' 10wor 's
(Name of Property /O ner)
!
property located at b �" �� PmL- /t "°
(Lot, Block, Road, etc.) Pl
on ��wo�� , in 1✓� kyy c it ��' �'.'�� , 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 se, back a minimum distance of fifteen feet (15') from my area
of rlpariaii access uni%ess waived by ine.
I do not wish to waive the setback requirement.
I dQ wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWS iG OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
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C) S (-J- 86J-Z/1/Y—
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Print Type Name
(-2- 5;z-) z41-�Z
Telephone Number
Date: �/Jfo _0 t

ADJACENT RIEPARLAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSE)
Ca.w
IN
O
1
I hereby certify that I own property adjacent to u LDS/ c 's
// (Name of Property Own r)
Property located at
on C a
(Lot,'B1ock, Road, etc.)
, in P ' ✓1 e- t-- vl ° Ll S LLo (- `'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
pilings/boatLift/boathouse must be se: 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 DRAWD G OF PROPOSED DEVELOPNIEN T:
(To be filled in by individual proposing development)
.JiyiiaLui�.
Print or Type Name
-Ya y- v V '��?-
Telephone Number
Date: -2 /O�
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