25628_REYNOLDS, THOMAS III_20000607

CAMA and DREDGE AND FILL �.
G E N E R A L ..`5 )28-<:
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_ %'ii c%✓
Applicant Name '�<:f. Phone Number
r
Address
City �/State Zip
Project Location (County, State Road, Water Body, etc.)
Xi
r
i
Type of Project Activity
PROJECT DESCRIPTION SKETCH
Pier (dock) Length i Y s'c
7
Groin Length 6
number
Bulkhead Length
max. distance offshore t
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
/%CC- fI-t,� ,,, -
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
permit officer's signature
issuing date expiration date
attachments
application fee

2112
MIKE NOE CONSTRUCTION CO, INC. BW
PH. 252-728-3828 Branch Banking and Trust Company
P.O. BOX 586 617 FRONT STREET
BEAUFORT, NC 28516 BEAUFORT, NC 28516
66-1121531
PAY TO THE
F ORDER OF
DOLLARS
I
S
MEMO: I
11200 2 L 2��':0 5 3 �O L�L 2 L�:S 2 3806868ii'
SFINRITI FFATUFWF F-'i,'Rn F--I.1N( TOP R R()l it ' 1 011�"' I If !U Ill I( I U WATfliffARK ON 11 J ';1111= Aol
ISNJr; FF n n)R[ INCI'r'41 FS n C I I ,

_ _. L 9 ..." t„ kJUJI r , ltvl• c j i MV INPI( STATEMENT
(FOR A PILR/MOORING PILINGS/BOAT7.IFT/BOA72y0USE)
I hereby certify that I own property adjacent to
s
(Name of Prefoeerty Owner)
property located at
(Lot, lock, Road, etc.)
on �c. in k- 1-2
aterbody) (T, N. C.
own 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.
4 I dQ wish to waive that setback requirement.
- ---------------------------------
DESCRIMION AND/OR DRAWING OF PROPOSED DEVELOPNW,NT:
(To be filled in by individual proposing development)
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Print or Type Name
Telephone Number
Date:

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A'10JiiULUN I rc1YAKN FMUMM Y OW1441A STATEN 'Sa' \�
(FOR A PIERIH00RING PI.LINGSIB0A7IIFT/B0A7-H0U5E)
I hereby certify that I own property adjacent to 's
(Name of operty Owner)
property located at IM
(Lot, Block, Road, etc..) _
in , N.C.
aferbody) (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 -MI wish to waive the setback requirement.
I dg wish to waive that setback requirement.
- - - ------------------------
DESCREMON ANTIOR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by inndividual proposing development) _
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tin e
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Print or Type Name
Telephone plumber 2XLL
Date:

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