26134_BAYEL, CHARLES_20000731

CAMA and DREDGE AND FILL 26134.
,..� G E N E R A L
PERMIT
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 zip
Project Location (Count)4 State Road, Water Body, etc.)
t- l_c...c.....
Type of Project Activity
PROJECT DESCRIPTION SKETCH
(SCALE:
Pier (clock) Length ¢
- .
Groin Length _
m,
number
Bulkhead Length
max. distance offshore
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Basin, channel dimensions
cubic yards t )
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Boat ramp dimensions ��
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Other
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This permit is subject to compliance with this application, site drawing
and attached general and specific conditions. Any violation of these terms
` applicant's signature
pp g
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-
permit officer's signature
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
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
have no objections to the proposed work.
attachments
In issuing this permit the State of North Carolina certifies that this project
is consistent with the North Carolina Coastal Management Program.
application fee

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EARTH WORKS INC.
109 HWY. 70 WEST 5513
HAVELOCK, NC 28532
Date ^ 1 66-30/531
Pay to the � z�6
Order of C
s0
FiRST CrT1Z�NS 27B
R,L,NK FlrsbCitizens Benk 6 Truzl Company
ar — Havolock, N.C. 28532
For ?e.
+:O 5 3 i00 300+:00 2 78 2 29BB 40�i■—
�.� 055i3
GUARDIAMA SAFETY BLUE DEBT,

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ADJACF,NT' RIPARIAN PROPe��'n' 0W,",T � s��r.A.rrr�,I_t:-�-
WOR A PYERIMoOkLNc J"rz.rNGS.-.30A7z.rt- r1ft0Ar�Ot%sE)
T hereby certify that t ow;y ,uoperry actjacei;t toP�k c .s
j (Name Of Property Uwe r
property located at
(Lot, Block, koaa, etc_)
C+
on OfIrl
V-f C. C rAv?s�
(waterbody) (Town and/or County) N.C.
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
piling s/b oatli ft/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.
lk --.LZ I Sb wish to waive that setback requirement.
----_---- ------------------------ w------------
DESCRIMON AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
-� CAWS
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IQ%-( dox d3a
�Qw UI • // '?7
(Ave)
uealv CT.
Print or
Telephone Number
Date.

ADJACENT REPARLAy PRORERTy OWIN-ER STATEMENT
(FOR A PIERIMOORING PILINGS/BOATLIF 1BOATHOVSE)
I hereby certify that I own property adjacent to o,�sr., �, s
(Name of Prape y Omer)
property located at 110-t , U
(Lot, Block, oad, etc.)
on _ te r r C , in ��p .�
(Water ody) (Town and/or County) __—_._
He has described to me, as shown below, the development he is p cposin,
location, and, I have no objections to his proposal. I understand that a }pier
"°Jimgs/boatliftrboat�^ouse must be set back a minimum distance of fifteen feet
01 j4pa-ian access ur:tA s waived by me
,4'U_ ` ,'Dot wish to waive the setback requirement.
I Iu wish to waive that setback requirement.
DESCR MON kN, -D OR DRAKI+TG OF PROPOSED DEVELOP.Ng— 7
(To be filled in by individual Prposing development)
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1_ dY
I(� S� ril�vey C,
Signa�4�/
2r�A
' Number
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