24417_BAILEY, MILLARD_19991003

CAMA and DREDGE AND FILL _0
G E N E R A 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 Z i p
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION SKETCH
Pier (dock) Length
i
Groin Length
number
Bulkhead Length
max, distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other r ,
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.
(SCALE:
f ,
(_ applicant's signature
permit officer's signature
issuing date expiration date
attachments
application fee

BLUE WATER MARINE CONSTRUCTION, INC.
P.O. BOX 93
MOREHEAD CITY, NC 28557
1113
/� 66-112/531
PAY DATE �. � f�
TO THE
ORDER OF
AZ ' / r DOLLARS ^8`;
0230 BB&T
4408 ARENDELL STREET
MOREHEAD CITY, NC 28557 / '��ii//''
FOR �/ /1 oe 1 /`3[� i �� r0 to �O�5"z77
1t'0000 1 1 L 311' l:0 5 3 10 1 1 2 11: 5 2 14 98 E 5 2n■

LN
ADJACENT RIIPARI PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to. A/ /1'4'-"/ /,11/g�j is
(Name of Property Owner)
property located at 7",Yo 0/4i( /� ,
(Lot, Block, Road, etc.)
on/2?2iy � T S c'l.i� e J , In 2_ jLjaos ;. h c S , 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 d2 wish to waive that setback requirement.
DESCRIPTION ANN
MOR DRA�6'IP�O OF PROPOSED ItEVEI,OPME'T:
(To ce,, "fed in by develonnzent)
Signature
� oC
,R,4120)/ -
Print or Type Name
V�
Tetep'-. _:t�;, iLTu:nber
Pate:'

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFTIBOATIIOUSE)
I hereby certify that I own property adjacent to: / /
is
(Name of Property Owner)
property located at )--e) �/. iZ L J-.,(,, / ol-z-
(Lot, Block, Road, etc.)
on /d>;��� mot% , in—��✓r �1 vf� �"�cr�r� , 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') iiom my area
of riparian access unless waived by me.
I do not wish to waive the setback requirement.
I da wish to waive that setback requirement.
----------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEN'ELOPMLN7:
(To be filled in by individual proposing development) .
ig ture
0<�ry lL
Print or Type Name
Telephone Number
Date:

r .
FROM PHONE NO. Dec. 02 1999 05:29PM P1
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