24328_RENFROW, C R_20000201

CAMA and DREDGE AND FILLlr�,�r.'t
,.� G E N E R A L cof
PERM I T ear
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 -2D00
Applicant Name
Address
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
State
i nls permit is subject to compliance with tnis application, site arawing
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.
Phone Number
Zip
' r
issuing date
Z o<no
applicant's signature
permit officer's signature
expiration date
attachments
application fee

OUTER BANKS MARINE CONSTRUCTION BB&T 4254
P.O. BOX 1988 BRANCH BANKING AND TRUST COMPANY
ATLANTIC BEACH, NC 28512 MOREHEAD CITY, NC 26557
[phone] 66-112/531
I/26/00
PAY TO THE
ORDER OF /D.E.II.N.R. I $ **50.00
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DOLLARS
Security features
included.
D. E . H. N R. n n t Details on back.
MEMO - ,�2YJlct— ri Cc . fS i�ra�cJ��MJ/M/V w
II8001,2SIon 29Sii./ 7 U'
A

01/26/00 15: 18 FAX [phone] T1;1Tl+;MN MGT � 0111
I hereby certify that I own $mPmtY 4spe it to.
,� ii ;r of Frosty C��.er)
property located at �-` !�► t� 1 z„°
(Ut, Block, Road, etr.)
(Wat odY) (Town armor County)
He has descsled to toe, as shown below, to developwmt be is proposbag at that
locator, and, I have no obje=om to h#s propose$: I understand #hat a pkdmoor ng
pifings/boatiiff/baathouse roust be set back a.minimum ditince'offfam feet (I" from my aau
of dpatian access wik=. wahx ed by me:
t I do not wish to waive the setback requitr ent.
i dg wish to waive ghat setback nq ire±? =L
DESCRIMON AND/OR DIL&WING OF PROS DEVEWFAUsNT;
(To be Oled in 0 i ulual,: f n*wdxg a%Iz )
signamm
Print or Type Name
Telephone Iu
rj-
A

ADJACENT REPARIAN PROPERTY OWNIER STATEAIENT
{FOR A PIERIMOORING PIUNGSIB0ATHfiTIBOATHOUSE)
I hereby cardfy that I own property adjacept to G 12 • Z'-f 's
l ,(Nme of Prope ty Owner)
prey located at I D )- — EC.
(Lot, 9beki Road, _etc.) -RC1 ,
or,
t" aterbodp} (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/mocring
pilings/boatlift/laoathouse must be set back a minimum distance of fifteen feet (I5") from zzay area
of riparian access aril waived by me.
_ - I do not wish to waive the setback requirement,
I & wish to waive that setback requirement.
DESCRI MON ANDtOR DRAWING OF PROPOSED DEVELOPMENT. -
(To be Jili d in by Uduc 1. pmpoidng develop )
Signature
Print or 'Type dame
Telephone Number
Date:�`—
V4