26694_BROOKS, BART AND JERALDINE; PAT AND IRENE DIGIUSEPPE_20000901

LAMA and DREDGE AND FILL !i
,.� 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 1. ' .0� 1/ i�•� _.;Phone Number
Address
City
Project Location (County, State Road, Water Body, etc.)
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
7x/h f&0.7(,- f
11T.,
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.
Zip
issuing date
(SCALE: A
applicant's signature
permit officer's signature
expiration date
attachments
application fee

BERTIE M. BROOKS, SR. NC 32747 3785
JERALDINE H. BROOKS NC 1825OS4 -_
211 GIBBS COURT PH 252-504-2996 2/531
BEAUFORT, NC 28516 Date
Pay To The
Order Of ►�+ 1 V y
VLAA
/ Dollars D-LI, sa...
ACH(yVIA �Q
Wachovia Bank. N.A -_- - ---_
Momhead My, NC 28557 - --. -- —�
i:053101529j: 5460 25212Slim 3785
IM I MID ' I _.._

ADJACENT RLPARLA—N PROPERTY OWNER STATEN E.NT
(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to�Y� N1 'Y-yci's
(Name of Property Owner)
property located at 4+ q �. z �2�s t d n� v� sc e �i Y 7 r o 4 �� ► ► bus Co R r �-
(Lot, Block, Road, etc.) /
on �'t 45 NPR k ' t� zee c ) , in �e cu t�ry ( r e �- Ca i vv�
C'a - dam) , 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 S-4 wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOP.MENI':
(To be filled in by individual proposing development)
!� e 0 rt a rct ? Gl Y r
Print or Type Nam
Telephone Number
Date: -, ,

ADJACENT RIPARIAN PRoPF-R-ry o4kNTIZ STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFTIBOATNOUSE)
I hereby certify that I own property adjacent to �'� e ��sz 's
(Name of Property Owner)
property located at `� , C Js %.�, A rx � , "d iV r3-io ri 09 err s au- rf
(Lot, Block, Roa&, etc.)
� G�i'her
on �`s ��e lc C �P>,s� ) , in c , 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/boadifdboathouse 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 dQ wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWIi iG OF PROPOSED DEVELOPME.NT:
(To be filled in by individual proposing development)
N
1
�i�7-0
I-woo S /
1; -7 ( 6 I ([.4- q
Signatur
j �.gAACL Yjo r � e
Print or Type Name
Telephone Number
Date: G , Z1b tJ