26164_BAKER, MIKE_20000816

CAMA and DREDGE AND FILL 2C,464 _
G E N E R A L /I,1 nw (c 3Fr1{ ,{.
PERMIT
as authorized by the State of North Carolina
Department of Environment and Natural Resources and the Coastal Resources Commission a
in an area of environmental concern pursuant to 15 NCAC !j-1
Applicant Name
Address
City
Project Location (County, State Road, Water Body, etc.)_
M .A
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
Phone Number , 5*2e •t, 7-7
State :Ne Zip 1 So t!
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nd(AA/Ai
i r (3 r '"J. 1'r (SCALE: A/cNF )
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
applicant's signature
permit officer's signature
expiration date
attachments
application fee

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ISSUING BRANCH MOREHEAD CITY PLAZA 70179000
DATE AUGUST 17 2000 25-1554/440
PAY TO THE D E N R
ORDER OF Q D $ ** 100. 00**
Y Q & T III IIII' .�' I �,I�II IIIIP�) IglPll I', I� ,1.
DOLLARS
B1JN1 DRAWER: BB&T
ISSUED BY: TRAVELERS EXPRESS COMPANY. INC. AUTHORI E SIGNATU
DRAWEE: HUNTINGTON NATIONAL BANK, COLUMBUS, OH /
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MEMO/PURCHASER ('QMQ PFRMTT
II57017900011' i:0440LSS43i:0L600104S1092no
■ I'1[1S DOCUMENT IIAS AN ARTIFICIAL WA IF.RMARK PRIN I ED ON I IIE BA(K. IIIL FRONT 01: 11IE LK)CUMEN I I]AS A MICROTRIN ISIGNA I LIU: LINE AND BORDER. ABSENCE OF I I IESEFEATURES WILL INDICAIE A COPY. ■

ADJACENT RIPARIAN PRC►PER'I`Y OWNER STATEMENT
(FOR A PIERIUNCOVER.ED BOAT LIFT)
0
I hereby certify that I own property adjacent to __M1 �� -�3 A Wf I
(dame of Property Omer)
property located at I VL
(Lot, Block, Road, etc.)
on � Ap YYkI°p CA #-*(-- m --- ��-iqf'(77 L. c-4-F , N.C.
(Waterbodv) (Town and/or County)
He has described to me, as shown below, the development he is proposing at that
location, and, I have no obje--tions to his proeosa.l. I understand that a pier/uncovered boat tint
must be set back a minimum distance of rirte-n feet (15') from m as of Lipari ac.^ess unless
waived by me.
T ack requirement. AUG 1 5 2000 U
. do not wish to waive .. the se.b
I do wish to waive that setback -, Ta cement. COASTAL MANAGEMENT
MOREHEAD
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DESCRLP'ITON A-ND/OR DRAVNIDiC, OF PROPOSED DEVELOPMENT:
(To be filled iualnnunDment)
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�lephone Number
Date:

ADJACENT RTPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIUNCOVERED BOAT LIF7)
I hereby cerffy that I own property adjacent to - 's
(dame of Propertv Owner)
proper-y located at 1 0' �b l� l _ 5��� 15 (_ �{��J4
(Lot, Block, Road, etc.)
on fAW P(WE in -- ( -C=--aCj--+_-- , 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/uncovered boat Litt
must be set back a minimum distanc- of fifte—en fit (15') from my arta_.wnpanan ac ess unless
waived by me. 10 � y 4 L li fis
I do not wish to waive the setback requirement. 15 2000:
I do wish to waive that setback reauirement. [CLOASTAL MANAGEMENT
OREHEAD
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DESCR=ON :-ti-D/OR DRAWPiG OF PROPOSED DEVELOPNL N-T:
(To be ed in by individu roposing development)
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Print or Type Name
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Telephone Number
Date: Vy (-2__

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