26625_CARTWRIGHT, LARRY_20000811

CAMA and DREDGE AND FILL VVV 4
G E N E R A L/26Fr25-d
_-
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 (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
(SCALE:
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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.
�t V
applicant's signature
issuing date
permit officer's signature
expiration date
attachments
application fee

R. LARRY CARTWRIGHT, JR. 66-48432 2506
PH. 919-676-0697 531 12208 OLD CREEDMOOR RD. 422285197
RALEIGH, NC 27613 Date -
Pay to the
Order of $ GG;
n UCH
1Y)V,vy G � ,
10 i)nllar�
RCentral Carolina Bank
L and Trust Company 432
'$h, Carolina 27613
For�
1:0531004651: 42 22a51971I' ss

ADJACENT RIPARIAN PROPERTY OWNER STA
(FOR A PIERIMOORING PILINGS/BOA7UFT/BOA771OUSE)
I hereby certify that I own property adjacent to�ey 1-P-V-r- q C0-� P i v t�-F 's
(Name of Property Owner)
property located at AT t e- -DP- i v
(Lot, Block, Road, etc.)
on 1� c E� t � C S c � � , in P w- c , � o t-- p T --, L C 014- ,CE I , 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 do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPNfLNT:
(To be JWed in by individual proposing development)
Pole
-fl-
7/ , 0 7
Telepho e Number
Date: 8 O

ADJACENT RIPARIAN PROPERTY OWNER STA
- (FOR A PIERIMOORING PILINGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to �° (ma's
(Name of Property Owner)
property located at p', uL
(Lot, Block, Road, etc.)
on 30 ��C in �vr���-t--� -M sce ' Itl L �T'A(�� � , 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 do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPME'�1i T:
(To be filled in by individual proposing development)
Na
jo Dom J i ;
�ork fib O.'-�
L'V
hie � P�lz
(06, �.1' (qloL'}T
uJ/ oroi?,��
Signa r_
Ft' --as
Print or Type Name
Telephone Number
Date: 7 3 � L'1G'