25656_SANDERSON, DEL_20000717

i
CAMA and DREDGE AND FILL 54/ 215
Ci t N t K A L
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
Address
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION SKETCH
17
Pier (dock) Length 777,
Groin Length
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
State
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.
Phone Number
zip
issuing date
(SCALE:
applicant's signature
permit officer's signature
expiration date
attachments
application fee

COASTAL MARINE CONTRACTORS INC 5634
PH. 252-638-6407
PO BOX 12729
NEW BERN, NC 28561-2729 7 DATE_ 66-112/531
PAY z � 1 / 01901
TO THE
ORDER OF /\[ �Q OD
$s
� DD/�
vv�cy—DOLLARS Cjtl
BB&T
BRANCH BANKING AND TRUST COMPANY
NEW ERN, NORTH CAPVtLINA
FOR 14
11400563411' l:053L0L121l:5LL0LL269fiul

DOCfL EX72��51641
LX7��LJD -D00L 70 /DD
ADJACENT RIPARIAN PROPERTY OWNER STA T
(FOR A PIERIMOORING PILINGSIBOA7WpTIBOATHOVSE)
1 hereby certify that I own property adjacent to LL�Jji2AAJf= SSA/ 17»�v �•s
Qtame of Property Owner)
property located at
(Lot, Block, R ad, etc.)
on in
(Wattrbody) (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/boa thWboathou se 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 da wish to waive that setback requirement.
DESCRUMON AND/OR DRANNT G OF PROPOSED DEVELOXWEI\"T:.
(To be filled in by indiiidual proposing dtvelopment)
/-IDAM 5 �Q"C� ZE
I CVO
'P,DGL T-�! P RAP
5Hi�Mk
Pw Lijo
«. ._................................-----.._..». i 25' ..... ....__..._.._-_._.____--
Signature
Print or Type Name
L�'j-- 0
Telephone Number
Date: w 3 - D ty

DOCe- EX7ZA7J516 cl
CXTE�JD 'DOCK 70 / 00 /
ADJACENT RIPARIAN PROPERTY OWNER STATEMENIT
(FOR A PIERIAlOORING PILINGSIBOATLIFT/BOATHOUSE)
i hereby certify that I own property adjacent to
'Name of Property Owner)
property Iocated at
(Lot, Block, Riad -etc.)
on JL.LEd 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
pilings/boatlifVboathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
I dot wish to waive the setback requirement.
I dg wish to waive that setback requirement.
DESCRIPTION AND/OR DRANNTiG OF PROPOSED DEVELOPNMNT:. �_----
(To be filled in by indMdual proposing development)
L 1 CVO
# 2
p� od o v t' p po0
Jl1 C2 ° %1
I • OFF
8�
i 10
v
}-U o C� 0 U C' ci
..--------------------------------------
------------ ------__ . _---._ --------------/-----------
Signature
Print or Type Name
Telephone Number
Date: D d
i
5)41 Dmk
`PW WG5