24398_WETHERINGTON, JAN_19991223

CAMA and DREDGE AND FILL �vp
G E N E R A L a
PERMIT6-1
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
Pier (dock) Length
Groin Length
number
Bulkhead Length
max. distance offshore 4c
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

EXPLANATION AMOUNT 04276
WETHERINGTON LOGGING INC.
PH.252-393-8435 252-393-8029 66.30/531 302
302
245 WALTERS LN.
STELLA, NC 28582
PAY
AMOUNT d DOLLARS)CHECK
DATE
TO THE ORDER OF
DESCRIPTION
CHECK
NUMBER
AMOUNT;,'.
$ SQ�ao
(1� AUTHORIZED SIGNATURE
FIRST CITIZENS BANK
MAYSVILLE. N.C. 28555
112004 2 761I• 1:0 5 3 L00 3001:00 30 2 2 30 L ,1301111

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exr m. Carofru
CERTIFIED MAIL • RETURN RECEIPT REQUESTED WVA Dep�arture Y of Errvilo ll,
ut_r- 17M Heaen and.1.1 Res-,
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual applying for Permit: j "ext`%' ��1 en �� 'fo I.
Address of Property: ��'� �'� �`�'�°�'' �� �--Q ��'� h r i -Y. 5 t �. .1 c,
c0--7-ff-7 e4
(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.
f
�iave no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Co st
Manaabment, Hestron Plaza II, IJIB, Hwy. 24, Morehead City, NC, 28557 or call , f�
,ZSQ8 ivithin 10 days of receipt of this notice. No response is considered the same as no objection
if you have been notified by Certified Mail. C1�
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 dowish to waive the 15' setback requirement.
dI�n not wish to waive the 15' setback requirement.
Si na ure Date
f A4r/&. 9
Print Name
Telephone Number With Area Code

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NEVER TIRE °F Mll(G W AT IS RIGHT
II THESSALOMAIS 313

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to do �, '�% r1 , 1 is fG -1, 's
I (Name of Property Owner)
property located at i� ur•.,z Pau ; ���i' �-ec� �{� 4P r r f�
(Lot, Block, Ro , etc.)
on k-�j �� dU �J'f� a-7 , in S f-4 )) e,% 60.-7 P -,.e �' , N.C.
(Waterbody) (To 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)
dV V.
eo wd- 1 elm 1 Gra f ���� � -'Frdjk!!!A-t�
Siinature
-V" Pe rl-y
/J'411"q a
Print or Type Name
" —) - is's - -,) to %
Telephone Number
Date:
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