23661_TESSIER, JACK_19991110

CAMA and DREDGE AND FILL Fop
G E N E R A L ��3s ' 1-�.
PER MIT
as authorized by the State of North Carolina
Department of Environment and Natural Resources and the Coastal Resources Commission
in anareaof environmental concern pursuant to 15 NCAC /'9*�// /?00
Applicant Name — Phone Numbed %rsr3
Address p Pox �3k�
City State NG zip P SSq y
Project Location (County, State Road, Water Body, etc.) ,/ 16"- a/e5 ` 2
r
/ 2 J
Type of Project Activity �,, /",r / ''�. 6 x �9G �,. ,,j� � /U X?v T
PROJECT DESCRIPTION
Pier (dock) Length % "�%
t,,I 10,)r2vt "T",
Groin Length
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
f/ ( ( - f CIvl .U1 , t r G t/
SKETCH (SCALE: /4 , _d-' )
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 permitthe State of North Carolina certifies thatthis project
is consistent with the North Carolina Coastal Management Program.
- applicant's signature
permit officer's signature
9 P - i0- 00
issuing date expiration date
attachments
r4er E .64- �vV p
application fee

TESSIER CONSTRUCTION, INC.
P.O. BOX 4386
EMERALD ISLE, NC 28594
PAY
TO THE
ORDER OF
-Op
I
C - 131 66-30/
531
DATE 7
$
�>?OLLARS B"
Fl ITIZENS,3,
Flat - ".- Bank S Trust Company
Morehoad City, N.C. 20557
� '
FOR -- --- --- ------
6 00 20413 40 5 3 100 300400 L 3 L 2 5 L 9 611'
ief—
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Q. ea CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual applying for Permit: c w1 k D %l %� ajll G, /t 11,1--A.
Address of Property: 9 �� e A xV A' f7 ap / r/G
4-7 1h, ,e5-,P,- <. l) /S c ky 9 (�?,4 /- TC2,,9-i C`Q,-)/vrl
(Lot or Street #, Street or Road, City & County)
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
I have no objections to this proposal;
If you have objections to what is being proposed, please write the Division of Coastal
Management, Hestron Plaza II, 151-B, Hwy. 24, Morehead City, NC, 28557 or call (252) 808-
2808 within 10 days of receipt of this notice. No response is considered the same as no objection
if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be
set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
`f I do not wish to waive the 15' setback requirement.
K/Ar
Siinature ' Date
Print Name _
Telephone Number With Area Code
f Yoposc D ?�w
Ekm erg L) =/,- PVC
2 0.sgy

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGS/B0AmFT1B0AT710USE)
I hereby certify that I own property adjacent to 's
(Name of Property Owner)
property located at Z:2'�IJ
(Lot, Block, Road, etc.)
on q,.cep 30ui12f�' in 5��p�Q—� C , N.C.
at ody) (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/boadift/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.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOP.NMN-T:
(To be filled in by individual proposing development)
Plea PO SEb
Co �@ G 90 y
� '- 6
1.
0.
Signa j�
Print or Type Name
13 / H "�
42
l5 E !*/ ct-
I-) 1-5� -? , 6�' �z
Telephone Number
Date:

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pti pe�ie
SITE
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Ex. Cedar Post
VICINITY MAP
Ex. Cedar Post
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(Not to Scale)
of
a
NOTE: Rear Setback
yy
m
! m
per CAMA
AREA
=I
63,457 Sq. Ft.
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(1.457 Ac.)
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(By Coor d.)
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Natural Area Llmlts
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vy
(Approx. Mean High Water)
v
.1b1 (Approx. Marsh Line)
NATURAL AREA
_ 1
.7
33,899 Sq. Ft.
Ex. Iron Pipe
x. Iron Pipe
53 x
3
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CAMA
Line .
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17 19 I I 20 I 21
30' Min. Bldg. Line
Ex. Iron Pipe L
Ex. Iron
( RiW) �84
87' Ex. Iron Pipe Pipe
----- 3' 2g N 83°56'31'E--%225.12' �I