HomeMy WebLinkAbout24568_SEWELL, GARLAND_200004110 -0CAMA and DREDGE AND FILL
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
Groin Length
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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.
issuing date
i
(SCALE:
applicant's signature
permit officer's signature
expiration date
attachments
application fee
SEWELL MANAGEMENT COMPANY CENTURA BANK 20634
I GARLAND W. SEWELL, JR. CAPE CARTERET, NC 28584
RENTAL ACCOUNT 66-85/531
P.O. BOX 861 - 710 W. CORBETT AVE.
SWANSBORO, NC 28584
PAY TO THE
ORDER OF .
MEMO 9 TJ�-)(�
1110 206 34ii' 1:0 5 3 L008 501:0 28 20 288 3r.0 �/
DOLLARS
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FAULKNER
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*** THANK Y0] ***
---------------------
v SENDER:
•N ❑ Complete items 1 and/or 2 for additional services.
Complete items 3, 4a, and 4b.
❑ Print your name and address on the reverse of this form so that we can return this
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` ❑ Attach this form to the front of the mailpiece, or on the back if space does not
ar permit.
t ❑ Write 'Return Receipt Requested' on the mail piece below the article number.
13 The Return Receipt will show to whom the article was delivere4 and the date
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t7 Print your name and address on the reverse of this form so that we can return this
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1. ❑ Addressee's Address
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mailpiece, on space not
permit.
2• ❑ Restricted Delivery
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it-SiWa-ture (Addressee orAaent)
PS Form 3811, December 1994
requested and
102595-99-13-0223 Domestic Return Receipt
UNITED STATES POSTAL SERVICE
First -Class Mail _
Postage & Fees Paid
USPS
Permit No. G-10
• Print your name, address, and ZIP Code in this box •
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ADJACENT RIEPARIAN PROPERTY OWNER STA
(FOR A PIERIMOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to
s
(Name of Property Owner)
property located at
(Lot, Block, Road, etc.)
onJ
, in �%/Is�J �4�lZ�
(Waterbo y)
(Town and/or ounty)
N.C.
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.
A
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
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Signature
Print or Type Name
Telephone Number
,
Date: