26157_BRINSON, MALCOLM AND RAMONA_20000707

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CAMA and DREDGE AND FILL J _C
G E N E R A L�,�� 60
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 0 FI . N vo
Applicant Name Phone Number '" 1`I�
Address 3 i
City �,r,A F'State zip E 57 C
Project Location (County, State Road, Water Body, etc.) 1� N t i L ti IQ/-i -r 1'*4 t
f"IAffP1 \ 1�wt�_ri l7aL F IC
Type of Project Activity
PROJECT DESCRIPTION
Pier (dock) Length
Groin Length
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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.
%� 1 applicant's signature
WOt t '' �`'�' �
permit officer's signature
issuing date
expiration date
attachments
415t,cu o. : , ti2tl
application fee

Pay to the
Order of_
RAMONA G. BRINSON
MALCOLM J. BRINSON
327 WHrrE HALL RD.
ARAPAHOE, N.C. 28510
X�.,n
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FIRST CI IZCNS 473
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K kapahoc. N.C. 28510
For
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Date � 66-30/531
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Ms. Ramona Brinson
327 White Hall Rd
Arapahoe, NC 28,10
THE HUMANE SOCIETY OF THE UNITED STATE `
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■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
Ss Print your name and address on the reverse
so that we can return the card to you.
` ■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
12. Article Number (Copy from service
j PS Form 3811, July 1999
A. Received by (Please Print Clearly) I B. ate of Deliv
�77
C. Signature
❑ Agent
X ❑ Addressee
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
,Al—,Wified Mail ❑ Express Mail
❑ Registered ;irReturn Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
� 06D0 OD
Domestic Return Receipt
102595-99-M-1789

UNITED STATES POSTAL SERVICE
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
EgEM Ms. Ramona Brinson
327 White Hall Rd
Arapahoe, NC 28510
THE HUMANE SOCIETY OF THE UNITED STATES

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual applying for Permit: �, � C C'C �A 1�?©. 1 B P—IAJ9t ;
Address of Property;
(Lot or Street #, Street or Road, City & County)
I hereby cer-dfy 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.
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, Hestron Plant II, 151-B, Hwy. 24, Morehead City, NC, 28557 or call (252) 808-
2808 within 10 days of receipt of this notice. No response is considered the same as no objection
if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be
set back a minimum distance of 1 5' 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 do wish to waive the 1 5' setback requirement.
I do not wish to waive the 15' setback requirement.
Signature Date
Print Name
telephone Number With Area Code

-CERIED M4I , • ETTTRN ECETPTREn ESTFn
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual applying for Permit �CnI-fLt
Address of Property:
DA,6
or Streit ff', Street or Road, City & County)
I hereby cep dry 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 d,aw'nz the development
they are proposing. A description, or drawing, with dimensions, should be provided with this
letter.
—4-1 I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, Hestron Plata II, 151-B, Hwy. 24, Morehead City, NC, 28557 or call (252) 808-
2808 within 10 days of receipt of this notice. No response is considered the same as no objection
if you have been notified by Certified Mail.
WAIVER SECTION
I unde stand that a pier, dock, mooring pilings, break"Vater, boat house; 11':L or sandbags must be
set back a minimum distance of 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 do wish to waive the 1 5' setback requirement.
a—tt--9—I do not wish to waive the 15' setback requirement.
Signature 11 Date
Print Name
Telephone Number With Area Code