24433_SHIREY, JACK; DENNIS MCLEES_20000216

CAMA and DREDGE AND FILL
G E N E R A L24433
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
Address
City
Project Location (County, State Road, Water Body, etc.)_
Type of Project Activity.
PROJECT DESCRIPTION
Pier (dock) Length
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
COO
i
applicant's signature
permit officer's signature
issuing date expiration date
attachments
application fee

M MES
66-112/531 0141
JOHN . M. OR EVELYN E. SHIREY
5110922215
5240WEBB COURT
MOREHEAD CITY, NC 28557
0
770,//,,
2905 BRIDGES 58JEw K
S STR E ET
MOREHEAD CITY
O's 3 Lo , NC 28557
w
S I Loci 2 2 2 L S119 S

IMPORTANT MESSAGE
FOR
DATE TIME
T
OF l
PHONE
AREA CODE NUMBER EXTENSION
❑ FAX
❑ MOBILE
AREA CODE NUMBER TIME TO CALL
TELEPHONED
PLEASE CALL
CAME TO SEE YOU
WILL CALL AGAIN
WANTS TO SEE YOU
RUSH
RETURNED YOUR CALL
SPECIAL ATTENTION
MESSAGE
n
?i3
SIGNED
FORM 3002R
LITHO 1N U.S.A.

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to is
(Name of Property Owner)
property located at
(Lot, Block, Road, etc.)
on _f �3G'i Ek , in r7 6 7 , N. C.
T (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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
M*'9/4
y
f EB 1 4 2000
Signature
Print or Type Name
Telephone Number
Date:

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 's
(Name of Property caner)
property located at
(Lot, Block, Road, etc.)
(Waterbody) (Town andlor 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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To he filled in by individual proposing development)
Signature
F E B 1 4 2000 Nit
f
DAETAL NIANAGEMENT Print or Type Na e
UIOREHEAD
:22
Telephone Number
Date: O�6vv

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