44527_KENSELLA, PETER_20060222 (2)

03/06/2006 16:41 FAX [phone] TIGR Q 003
02/,28/2006 -12:07 FAX [phone] BeaufprtRealtyNC.com 002/003
Al9i1A / ❑ DREt]GE & FILL"' y p
N
PERMIT
N. 44527,
�1ew ❑Modlflcatlon CJComplete Re19sue I:partial R 46JY 1 O 2006 Previous permit #
As authorized by the State of North Carolina, Department of Environment and Natural Resources Date previous permit issued
and the Coastal Resources Com lsslon In ea of r e tai c 11- !�
Applicant Name � t � ule: attached.
n �,Y Project Location: County C-Ad
Address 3 /� 4 f nJ(q Vns ro ut� �,1—.._.._
---- � Street Address/ State Road/ Lot #(s)
CItY ...,_�!..�_ State ZIP
Phone # 0016LIV — �% (/L'Pax # (—)
�� Subdivision
Authorized�,Aggent l�C� V.'i i %� _� r City _''1�(",
Affected o� }A ❑ts ❑hTs Phone # (,_ )__. Rivet Basin `✓`'� h"
AEC(s): I•�J HHF �] ily Gl USA O N/A "�fp +` Y
❑ Pws; ❑ F Adj. Wtr, Body---�V 67 �L..�
a man unknj
ORW: yes no pNq yes no Crit, Nab. yes / no Closest Mai. Wtr. Body_ UC c��t/
Type of Project/ Activity � Q rX6 "do c le-
UYr,
Plor (dock) length_ c hf,! 1 (Scale:
Piatform(s) �L_ I / 1' 41 - _. .
Fingar
Groin length
number
91ilkhaadl Rlprap Length
avg distance offshore
max distance offshore I I
Basin, channel I I I I
cubic yards
�_ I i f�; I i I I •I � I�
Boat ramp 1 1
Boathouse/ Ooatiife
I, ia•ril
Beach Bulldozing
Other I
Shoreline Length / 7t'
I
SAY:
-1
I
I
not sure YM 1
Sandbags: not sure yes n1<
Moratorium: n/a yes n
Photos: yes n
1
Waiver Attachad: es
Y
A bulldln g permit may be required by:
Notes/ S�Aleeial Conditions Q
�
",%1(�'fZ7�'"f`
f - -
❑ See nofte on back regard)ng River Basin rules.
�^`dirt'c
i^^oV''C„
e J
Ill
Agent or t Printed Name
r r dd e
gn ^ ** Please road compliance Statement on back of perrmitt iQ111�
Application Fat(s)
Chhockeck # #
Ua ati 06
lsiuln ate Expl tion D im
Local Planninglurisdictlon Rnvei:f eName V

AWACENT RJPARIIAN PRORERTY O'WiNER STATEMENT
(FORA PISRIVOORINGP11INGSIBOATLIFTl80AT`HOUSE)
I hereby certify that I own property adjacent t
proprrty iocated at
(Lot, BiorL- Road, etc.)
r MAY 1 0 2006
on -L�L--, tom - ----, in , N.C.
(NN,aterbody) ( 'own and/or county) Morehead City DCM
(\aerie of Proper
fIc has described to me, as shoN n belov,, the development he is proposing at that location,
and, I have no objections to his proposal, I understand that a pierlmooring pilings'boattiWboathouse
must be set back a minimum distance of fifteen feet (15') frorn my area of riparian access unless
waived by me.
--- I do no wish to w aive the setback requirement.
I do wish to weive that setback requirement.
DESCiUPTION ANWOR DRANN ING OF PROPOSED DEVELOPMENT:
(To b�l�! in bt-itirtlividual pr poSirr$ development)
40
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........................
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t.v P
7 r S I gi i re
Print or Type Name
Telephone Number
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D aie:
Nv

:1WACEtiT RIPARIAN PROPERTY OM'1ER STATEI'%IE1T
(FOR A PI£R/i1O0ALW PILINGSIBOA TLIFT1,80A TXOUSE)
I hereby certify that I own property adjacent to
property located at
(iNatne of Prop ertN
11
< �
(Lot, Block, Road, etc.) MOr D '2190,
on
Jn
(Waterbody) 1'oNvn anti/or County) %
k1c has described to me, as shoe n belo�k, the dc-vetopment he is proposing at that location,
and, I have no objections to his proposal. I understand that a pierltztooring pitings'bc�atlitl�boathoust
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 do ��,ish to wai,e that setback requirement.
DESCRIPTIOS ANWOR DRAWI`►G OF PROPOSED DEVELOPNIENT:
(To be filled in b�- individual proposing developnrrr+r)
el- d P 0 5 � d-
A., d d- / 77-i,c 'Y ? e
COO
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XI 4
................. ......... ..- - - -- -
nwor
Pant or Type Name
Telephone Dumber
Date:

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