26924_PINE KNOLL ASSOC; BROCK BASIN_20000714

CAMA and DREDGE AND FILL
PERMIT
as authorized by the State of North Carolina
Department of Environment and Natural Resources and the Coastal Resources Commission
in an rea of environmental concern pursuant to 15 NCAC
-PAr KdOLL ASSaG ATio^,(
Applicant Name
Address
City
Project Location (County, State Road, Water Body, etc.)
Phone Number
State // n1 c zip
} "} i,JO+' l.tr. /' ,n.trlt^ n•'!�,IC Cutldi
Type of Project Activity h. u! ), i I r"t r J/ i 1
PROJECT DESCRIPTION SKETCH -1, r - , r Z
Pier (dock) Length
Groin Length
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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
(SCALE: )
applicant's signature
permit officer's signature
expiration date
attachments
application fee

PINE KNOLL ASSOCIATION, INC.
P. O. BOX 905
ATLANTIC BEACH, NC 28512-0905
PAY —� R ` t �%
TO THE \11 (\\\I w)
ORDER OF
Wachovia Bank of North Carolina, N.A. �( G
Morehead City, NC '288L7
FOR Cl FLa.2Yl/''
1100000126Sue I:053LOL5291: 511EL 0 L3801P
1265
66-152/531
DOLLARS 16
r

MACIENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to - © C K AS + tJ 's
(Name of Property Owner)
property located at %'4 (H O5 ©� `� F UE
(Lot, Block, Road, etc.)
on PINE PoC.C- 1"760-Lzlf din P0LL S!-b2 5 , 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.
DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
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aa00INC
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Print or Type Name
Telephone Number
Date:
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i ce( Wit A e 0 - Do o-f-
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to ��©cK t�AS{tJ is
(Name of Property Owner)
property located at 0'f Ea; '- 4 A (6 A F s7 P LUC
(Lot, Block, Road, etc.)
on in P-ZluC-- kNoCL S'4of-E5
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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
l I V5 i AC. c_ 911., OF ~" m
CK NE,a s) IT4 �Cec)N�
®F EX�S 1N4 �G�tKh /AUM
� 35 c�a�c Y�•2Ds �F - __ \\
^4 i N-,TE1VA NcE -D(i2E0Gl-4 \
Signature
Print or Type Name
Telephone Number
Date:
r
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