23555_WILSON, DAVID_19991115

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CAMA and DREDGE AND FILL � M� OrGs�
G E N E R A L z 23555 P E R M I T,���a
as authorized by the State of North Carolina f
Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC % Iq % a 0. 0
Applicant Name 0a I/[ mil`/ So 1�. Phone Number
Address l0/ f'r n S S Ln P-0 1
City A f I0 11 t,G /3 -410 6A State kr Zip
Project Location (County, State Road, Water Body, etc.) C CA,.�t- A* CO U
Eb �f Sty .gyp / ro 1h -f 1 oM h C4
Type of Project Activity ii S La � j u b oP f 1 t / i � �. �l X- j d . � o '►- -` r4
C
F
PROJECT DESCRIPTION SKETCH
Pier (dock) Length G fc, 5
Groin Length
number .
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
G
G. ;Iiii I f l 4-
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
n- p¢G V e.t- n�
�- (SCALE:
applicant's signature
�i
permit officer's signature
issuing date expiration date
land use plan and all local ordinances, and 2) a written statement has
been obtained from adjacent riparian landowners certifying that they fit/ eft
have no objections to the proposed work. attachments
In issuing this permit the State of North Caroiina certifies that this project
is consistent with the North Carolina Coastal Management Program. application fee

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66-112/531
2541
OSPREY MARINE CONSTRUCTION 5110946912
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2773 HWY, 70 BFT. PH. 252-728-4980 -
BEAUFORT, NC 28516 DATE
PAY TO THE '�
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$
ORDER OF
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DOLLARS
023 BB&T
1p ;;MTU ANU lSu*T' COM"^NV
2905 BRIDGES STREET
MOREHEAD CITj, NC 28557�
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RIPARIAN PROPERTYLURNER STAT EMINT
(FOR A PIERIMOORING PILING OATLIFT BOATHOUSE)
I hereby certify that I own property adjacent to"(!�lO <ivi(.�d�/ ,s
(Name of Property Owner)
property located at Zo/ xi� � yL X
P06i
(Lot, Block, Road, etc.)
on �/
' in � �J� 'd , N.C.
(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. 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.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
Sw�,Th �{olc-
C)�,�
Is -,-I u- rl� , �
( � - n-- � �
Signature
ti X
Print'or- Type Name
Telephone Number
Date: /
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