24895_POWELL, DUANE_20000314

I
CAMA and DREDGE AND FILL
G E N E R A L �NT 24895,
PERMIT
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
Address
City State Zip
Project Location (County, State Road, Water Body, etc.)`,
Type of Project Activity v �� ' y, ��� > ,, %. �:•€
PROJECT DESCRIPTION SKETCH
Pier (dock) Length
Groin Length
number
Bulkhead Length Li4
max. distance offshore 9
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.
(SCALE:
applicant's signature
J
permit officer's signature
issuing date expiration date
attachments
application fee

MIKE NOE CONSTRUCTION CO, INC.
PH. 252-728-3828
P.O. BOX 586
BEAUFORT, NC 28516
PAY TO THE
ORDER OFF-
66-112/531 1410
DATE
$ /VCI,o a
DOLLARS M-aMh��
02201 BB&T
BRANCH-FR-0 Pf';7 COM7
617 FRONT STREET
BEAUF RT, N 285 // /J
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':0 5 3 10 1 1 2 1': 5 2 1 380 68 68ii' 14 10
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ADJACENT SARAN ]PROPERTY O"WM STATEMENT
('FOR A PIERIMOORING PILINCSIBOAILIFl/BOATHOUSE)
"D
I hereby certify that I own property adjacent to _ i,� /) A-�i� flw L 's
Name of Property Owner)
property located at _ -� �j /✓ x-
(Lot, Block, Road, etc.)
on %7�r� /�S ✓i����� , in 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
pLings/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 do wish to waive that setback requirement.
D£SCRIP`T'ION AND/OR DR.AWrgG OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
--------------
------------------- ---- p�
Sign re
Print or Type Name
3�y_
Telephone Number
Date:

ADJACIWr RiPARZAN pRopERTY OWNER STATEIl+tE qT
(FOR A TIERIMOORING PILINGS/B0AZUFT1B0ATH0USE)
I hereby certify that I own property adjacent to W A Ajti gGA L 's
(Name of Property Owner)
property located at -.2,1 9j '2� - 1'�Ce- g�
(Lot, Block, Road, etc.)
on -�
-b'o'
�'`-s N.C.
c- � � � �a�kt�9zi������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
Piling&%oadift/boathouse must be set back a minimum distance of fifteen feet (15,) from my aria
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.
--------- -�-------------..- _ __ _ _
DE3C RIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT. -
(TO be,ftlled in by individud proposing development)
Pg , `�- L.
�') �� 'Way" 7 �'W'&J
Signature
roq V /-// z) Z- 'v
Print or Type Name
ss. -- "2 :l, - 3 L-�s
Telephone Number
Date: /q 00

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