24573_COREY, JAMES_20000420

CAMA and DREDGE AND FILL
G E N E R A L a 2457
P E R M I T
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 J� .
Applicant Name
Address
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
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.
Phone Number;
N1
xl - L
/ applicant's signature
permit officer's signature
is uing date expiration date
l 1� _ I ,
attachments
In issuing this permit the State of North Carolina certifies that this project l '
is consistent with the North Carolina Coastal Management Program. ��pplication fee

Mr. James H. Corey, Jr. ss-soiss� 9629
NCDL 199951 Ph 252-726-3365
5002 Midyette Ave
Morehead City, NC�28557 DATE _ ---
PAY TO THE
ORD OF ` / —
_ DOLLARS
Look f :Micro Prin signature Ilne, gray type and lincwork. First Citizens Bank logo on back. If not present, do not cash.
IRRST CITIZENS 137 ChateY ggst
` n FlrstCItizens Bank 6 Trust Company
i��•�j 'Moorehead City. N.C. 28557 ,!
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent toQ�D 's
ame of Property Owner)
property located at
(Lot, Block, Road, etc.)
on , in V y �J� , N.C.
(W terbody) (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 d4 wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
CSC C. R -,I, 'r" 'tt 0- M-E Z7 )
Signatu e
Print r Type Name
dJ,8 - /7a C - !�,?J-9
Telephone Number
Date: � ' lo 0

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to is
(Name of Property Owner)
property located at / fir- (` - �i.'K S 1
(Lot, Block, Road, etc.)
on 5 00f03 , in tW, rC� Ct / 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 dD wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
C E 4 1 "-1 r_) Q- Ff JE -PJ
Signature
A N W1U<'1Z�i2
Print or Type Name
Arz 92-6 --
Teleph ne Number
Date: .3"-31" co