25640_PORTER, NELSON_20000620

CAMA and DREDGE AND FILL ^1
G E N E R A L 211340
PERMIT 15,
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
Address
City
Project Location (Count)4 State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION
Pier (dock) Length
Groin Length
number
Bulkhead Length
max. distance offshore _
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other ^
Phone Number
State zip
SKETCH .. : �• (SCALE: )
This permit is subject to compliance with this application, site drawing V
and attached general and specific conditions. Any violation of these terms applicant's signature
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 issuing date expiration date
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. attachments
In issuing this permit the State of North Carolina certifies that this project
is consistent with the North Carolina Coastal Management Program. application fee

ELBERT NELSON PORTER
NCDL 1234710
PH, 910-594-0061
216 BIZZELL ST
NEWTON GROVE, NC 28366
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3103
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62601
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BRANCH BANNING AND TRUST COMPANY ,///� /�jJ I / {� y �/
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to 4FUe/-' NeL3on �d v4c t 's
(Name of Property Owner)
Property located at �S'I�� %�i V e s- Sir o re s' At, ,
(Lot, Block, Road, etc.)
on in 1`'ft,11 & -0 6 , 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 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 & wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPIMENNT:
(To be filled in by individual proposing development)
tj
G rtn ham
Print or Type Name
Telephone Number
Date:

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATUMBOATHOUSE)
I hereby certify that I own property adjacent is
(Name of Property Owner)
property located at�
(Lot, Block, Road, etc.) I
on � V f'I t' �' �/ , in ,LA&21 L, J c. , 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 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 d-Q wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
i
Z�
Signature
c hel-rdn / - () I/V 1
Print or Type Name
T�iephone Number
Date: L a 0 6