25551_SUBER, MARK; ASHLEY BROOKS_20000511

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CAMA and DREDGE AND FILL
G E N E R A L
l
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
(SCALE:
applicant's signature
permit officer's signature
expiration date
attachments
application fee

r-
28010271
SHORELINE MARINE CONST 66-152/531
ASHLEY BROOKS
po BOX 5173 DATES DO - -
EMERALD ISLE, NC, 28594 D -A
PAY s so:--0
TO THE
ORDER,
DOLLARS
-W-ACHOMA
Wachoviu {Sank, N.A-
pi,, K III,,[ NC 28557
FOR
112213OL02711" 1:0531DI5291: 5467y--255-11w
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05/01/2000 19:40 2400160 MACK GLENDA BAKER PAGE 01
Al?JACENT WAKIAN YKUPLK.i Y U W Ith J t ti l ri"ImLt
(FOR A PIERlMOORING PILINGS/BOATLIFTIBOATHOUSE)
I hereby certify that I own property adjacent to
f vl ire ,� J 0b r I
(Name of Property Owner)
t treat Lo i -4-4 v
9 D/�c� wo1/l/ LaK'e _,
property' oca
(Lot, Black, Road, etc.) 1 /
on ci vl Sm Lr o] (- �t H • % ^� in Ay 2'
aterbody) (Tawn and/or County)
, 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 pierlmooting
piiings/boadift/boathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
T!L I do not wish to waive the setback requirement.
I to wish to waive that setback requirement.
------- ------------- -------------- ----------------
DESCUPTION AND/OR DRAWING OF PROPOSED DEVELOPyfENI':
(To be filled in by individual proposing development)
VAIC
( 'J/• i( n VVV O
-------------------------------------------------
Print or Type Name
ZS '?--- 7 7-
Telephone Number.
Date: �� - b b
Po -a �4p-Oj6U

- ia. No of FOP"/ Ta4'S! Ta w
Aft �` St1 B E!� Ran O-`afro/
t«anon � �e
e �9 Fes. T&4r*s
Cal so, PKkq
ze'd -Ulox
(FOR A PIRRIP40ORINO PILINGS/BOATt.IFT/BOATHO(jSE)
I hereby certify that I own prnperry adjacmt to /?. x -
s
(Name of Waperty Owner)
per" locawdd at l.0 f ' 401-rV C"O'V�. Z4,t-e
(Lot, Block, Road, etc.)-
QR !�'BiGtC� �dNw��n In / / /O/•r rly4
Waterbod— `� , N.C_
Y) (Town and/or County)
Ito has described to plc, as shown below, the development he is proposing at that location,
and, I have no objections to his proposal. I understand that a pier/mooning
pt7n9slboad11Vbaazhoux must be set back a minimum distance of fifteen fb:t (15') from my arcs Of�pariap access union waived by me.
//// I dd DO wish to waive the setback nquirernent.
__�,_ __ I do wish to waive that setback requifemcnt.
DESCRnMON AND/OR DRAWING OF PROPOSED DEVELOP:btE1YT;
(Ta be JMrd in by inav&ual proposing devdapm ew)
/ 0,4-r
��eA1tnt`{ FtY<d t,f!
%TO ti 0 T, FA.QTI-/ f N G
Print or Type Name
gr9 S'S,t?- SaS�
Telephone Nu/tuber
Date:
eo'd GGeL 92L "Se T* 11.AZN3[1 91:(—Z 0"—Te—AuW