25544_BURKE, HENRY; DEREK SMITH_20000502

CAMA and DREDGE AND FILL
,.t 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_
Address
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
State
ana attacnea general ana spectnc conumons. hny vwiauvri ut uicsc wf If In,
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
M
applicant's signature
f
permit officer's signature
issuing date expiration date
attachments
application fee

DEREK S SMITH (DBA) NCDL 7836496 S _ S' o0 888
BOGUE BANKS MARINE CONST
800 NORTH GATE RD PH 252-247-4428 66-152/531 CC
MOREHEAD CITY, NC 28557 1)a!e
Pay To The /� 1 l fD
Order Of /J /"�6, D is
oemue on Back.
-A�-
vu
Wacbovia Bans NAL
Morehead City, NC 28557 -
11
-7 /Su,. ���
=-Memo -
_ -- — hp
-_ 1:0 5 3 LO L 5 291: 546 L L L 3 2 Lou' L888
HAFLANO 1998 --
I

J A.- `1 Yuji 1'&kA A-k I y A.ILv.L 1 1 V YY1*4X A 01211LIVl.LiJ14I
(FOR A PIERIMOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to eel r 's
,AM46e of Property Owner)
property located
�- - (Lot, Block, Road/etc.)
on 809 in W 1 r- Rez N. C.
aterbody) (Town and/or County)
He has described to me, as:.
s shown below, the development he is proposing at that
location, and, I have no objections to his proposal. I understand that a pier/mooring
pilingslboatlift/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 do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in b ' zdividuul proposing development)
G6 `
r
; Name
Asa- -7 acD - 3-7?�—
Telephone Number
Date: 4 -o-1 8 -og

X � % A . " L L A A kA. 4, r A .i l V A. "%.1 :. %J TV t �.11i�. L3 Y t'1, Y j%LvjY'j'N 1
(FOR A PIERIA100RING PII,INGS1'B0A?ZIFI'/B0ATH0USE)
I hereby certify that I own property adjacent to WrA j�WV4'p's
�20 l r � V4,,0,(NAme of Property Owner)
property located at
(Lot, Block, Road
on 90� t-tt—, in �5�a,�12 C , N.C.
aterbody) (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
piUngs/boatliftiboathouse 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 do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in b 'pdividual proposing development)
f o� r
a
300
V
Si
Print or Type Name
7t, 16
Telephone Number
Date: