25514_RAGAN, JAMES E III_20000504

CAMA and DREDGE AND FILL
G E N E R A L
PERM I T
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
PROJECT DESCRIPTION SKETCH
Pier (dock) Length
L.
Groin Length
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
E i__ " -�-- r ,. �- L'l (SCALE:
I!
This permit is subject to compliance with this application, site drawing X
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. l'
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- Z-'
fies by signing this permit that 1) this project is consistent with the local issuing 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. , c,,.;
In issuing this permit the State of North Carolina certifies that this project
is consistent with the North Carolina Coastal Management Program.
applicant's signature
permit officer's signature
expiration date
attachments
application fee

HODGES MARINE CONSTRUCTION
NCDL 1999167 PH 252-745-7018
55 BAYSHORE RD
MERRfff, NC 28556
Pay to the 1 . -
Order of
66-30/531
472
d�
Date
1132
A A Q Dollars 8
FIRST CITIZENS4726Vd551e,1
SANKFiMtltizaro 894 yrud Company
o`,i= . N.C. z.s7I
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For—' 'B'Y�%-----=`°
0530
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.30

011
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/UNCOVERED BOAT LIFT)
I hereby certify that I own property adjacent to S 's
(Name of Prope Owner)
property located at tir Z ' '
(Lo , Block, Road, etch.)
on are en re. e. , inP/ /, ' s- , 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/uncovered boat lift must be set
back a minimum distance of fifteen feet (15') from my area of riparian access unless waived by
me.
iV I do not wish to waive the setback requirement.
I dQ wish to waive that setback requirement.
DESCRIPTION AND OR DRAWIN O OF PROPOSED DEVELOPMENT:
��, (To be filled in by individual proposin develop nNent)-
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3
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n
FSinature
Print or Type Name
Zi - Y73-- s 6 5 -�-2- .2 ff
Telephone Number
Date: � DD
-30-

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/UNCO VERED BOAT LIFT)
I hereby certify that I awn property adjacent to V%1onc�.'- I---- IQ Imo_—�s
(Name of Property Owner)
property located at Z 7 ( o C>d2 9
(Lot, Block, Road, etc.)
on C 6� , in 3-' t' `, 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/uncovered boat lift 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.
DESC MON AND/OR DR45WING OF PROPOSED DEVELOPMENT:
(To be filed in by individual proposing developp e t) /V Cr�QJ�
i � I
D
Signature
O a
mc-
Print or Tye ame
Telephone Number
Date: V I I L f O \1
-30-

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