26634_BROOKHART, MERRIS_20000821

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Applicant Name
Address
City
CAMA and DREDGE AND FILL_
G E N E R A L
PERMIT 6t /�
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
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION SUTC'H
Pier (dock) Length
Groin Length
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
State
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.
Phone Number
zip
(SCALE: )
applicant's signature
permit officer's signature
issuing date expiration date
attachments
application fee

MORRIS V. OR HARRIETTE L. BROOKHART 1927
FOR JODI E. BROOKHART &pd-a4*3�
NCDL HIS 2536054 HERS 1948695 66-1s/536 NC
1615 WENSLEY DR. 919-471-3372 Date - 4367
DURHAM, NC 27712
Pay to the t 1� �Z
Order of 1`'� s I ()C)
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NationsBank
NationsBaidt, N.A.
For
l:0S3000L91D: 000430LS899811' L927
00.,k A-k- GUARDIAN® SAFETY BLUE WDBI

UNITED STATES POSTAL SERVICE
First -Class ?Rail
Postage & Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
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■'Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
i ■ Attach this card to the back of the mailpiece,
ti or on the front if space permits.
I 1. Article Addressed to:
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2. Article Number (Copy from service label)
A. Received by (Please Print Clearly)
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C. Signature
X ❑ Agent
❑ Addressee
D. Is delivery ad tti' m 1? ❑ Yes j
If YES, en euv-address ❑ No
AUIU 0 7 2000
3. Service Type
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❑ Certified Mail
❑ Registered
p.i�cpres ail
C7- .. n Receipt for Merchandise !
❑ Insured Mail
❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
PS Form 3811, July 1999 Domestic Return Receipt 102595-99-M-1789 j

UNITED STATES POSTAL SERVICE
First-Class.Mail
Postage & Fees Paid
USPS
Permit No. G-10
• Sender: Please print your 6e, address, and ZIP+4 in this box •
KoiKlA� S S gxNn
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02

f Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ 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:
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Number m py from
mPS�o�m 3811 u 19" d -:
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A. Received by (Please Print Clearly) I B�\ Dajj of Delivery
C. Sign ture
X =Addressee
Agent
D. Is delivery address different fr item 1 ? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
❑ Certified Mail ❑ Express Mail
i
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
Domestic Return Receipt
102595-99-M-1789

CERTIFIED MAIL RETURN RECEIPT RE UES
DIVISION OF COASTAL MANAGEMENT 2000
IAG
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM+ DENT
Name of Individual applying for Permit: Heron's Point Condominium
Morris Brookhart / G,—t—
Paul Dreyer
Address of Property: 1708 Emerald Isle Drive, Emerald Isle NC 28594
I hereby certify 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 Plaza 11, 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 15' 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 15' setback requirement. AS &,(Alt-ro (.U�
I do not wish to waive the 15' setback requirement.
Signature Date
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Print Name
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Telephone Number With Area Code
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