24519_PRUITT, CHRISTIAN_20000411

CAMA and DREDGE AND FILL
--� G E N E R A L Nl ',� 245J 9- (2
PERMIT /V
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
I
Applicant Name Phone Number
Address
City State Zip
Project Location (County, State Road, Water Body, etc.) T"
Typeof Project Activity
J Y
PROJECT DESCRIPTION SKETCH !' - (SCALE:
Pier (dock) Length
i
Groin Length
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
'y' iK fr
This permit is subject to compliance with this application, site drawing
f�'
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
_
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may cause the permit to become null and void.
This permit must be on the project site and accessible to the permit of-
, / permit officer's signature
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
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In issuing this permitthe State of North Carolina certifies thatthis project
/
sC� rlfir'" '
is consistent with the North Carolina Coastal Management Program.
application fee

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PAMELA MAMIE LARSON PH. 252-726-0147 66-112/531 191
LIC. 20134761 5215018328
P.O. BOX 516 L/C
ATLANTIC BEACH, NC 28512 DATE
PAY TO THE
ORDER OF J $ 0,
r
-DOLLARS 8 m
Z3o, BB&T
W WCN -kINO A ikYtT COMPYIY T.
4408 ARENDELL STREET
y MOREHEA NC 28557
MEMO/f/ ----- -- ------
1:05310112Ill: 52L50L113281I' 0191

a1AR-15- 0 1471D 2 : 5 9 ?1,1 F?U[IT LUIiB-R FRY. 110. :919490150? F.
ADJACENT RIPARIAN PROPERTY OWNER STATENIENT
(FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSE) .
e �7- o3Sy
I hereby certify that I own property adjacent to S
ame of Property Owner)
property located at /-, (D 4 -Z—' ' / /.l -r" /
(Lot, Block, Road, etc.)
on 2n P J , N.C.
in fie,7&,0 6L
(Waterbvdy) (Town and/or County)
lie 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/boadihlboathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
I du_pol wish to waive the setback requirement.
I dD wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
22�w C� GL� (1'v be filled in by individual proposing development)
' C�sS�, �c 2�5YI
o
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Signature a
Doezt4-�
Print or Type 116e
Telephone Number
J
Date:

Apr-03-00 09:40A G Hodgin
MAR-15-CO WED 2.59 P9 PRU[TT CUMER
336 218 0539 P-01
FAY NCB. 19134961502 P. 2
ADJACENT RIPARUN PROPERTY OWNER STA"Z'ENT
(FO)t A P18RJMOORING PILINGS1R0A7UFT/190AT1i(tUSE)
1 %
I heraby certify that I own Property adjacent to
(Nam* of Property Owner)
property bated at L (0 Q ? jai &Z ') r/I,y 1,t.d� �S
nn (Lot, Block, Road, etc.)
on r� 2t�lv�UA' , in ti4 , N.C.
(Witterbedy) ('town and/or County
lie has described to rnc, 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
pilingz/boQgMboathouse must be set back n minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
1 dV_Vat wish to waive the setback requirement.
I dg wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT,
(ro bsiVed in by iadividaal proposing development)
o 4, �o41 ,o
5X15TIV6, T,4t,7o<x
-r77-777,77
� ��ciSf-ink Qc.�lKhect � ! _
SIR to
Print oV ype Name
Telephone Number
Date:
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