24504_DAVIDSON, ANDY_20000327

CAMA and DREDGE AND FILL
G E N E R A L 24504
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 State
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
I Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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
s"
(SCALE: )
applicant's signature
permit officer's signature
issuing date expiration date
attachments
application fee

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5482
COASTAL MARINE CONTRACTORS, INC.
P.O. BOX 12729 PH. 252-638-6407
NEW BERN, NC 28560 DATE 66-112/531
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PAY �} 5 /`� ----
TO THE OE ! v l✓
ORDER OF___-
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—7y,rao, BB&T
VINO AHD TRU4� CO -
375 SOUTH FRONT STREET
NE BEk2N, NC 28560
FOR - I L ��- 1 � � - - ---�- --- L---- - ----------- �
1120000 548 211' l:0 5 3 10 1 1 2 1l:5 1 10 1 1 2698'l'

ADJACENT R[PARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/A100RING PILINGSIBOATLIFT/BOAT HOUSE)
I hereby certify that. I own property adjacent to 3�L/ � V�' S .. 's
(Name of Property Owner)
property located at 9 42 /3.-z- LS �„� , ,, (, z 1 �
(Lot, Block, Road, etc.)
on VL-o �/h.� g-L , in /V /� /.�r� � ('�tY�,, N. C.
(Waterbody) (Town and/or County)
He has described tD 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 AtiD/OR DRA«'M OF PROPOSED DEVELOPti1ENT:
(To be filled in by indii•idual proposing development)
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lyft'.At�
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Signature
Print or Type Name
Telephone Number
Date: _�'2 — "? v a 0

ADJACENT RIPARUN PROPERTY ONVNER STATEMENT
(FOR A PIERIA100RING PILINGS/BOATLIFTIBOATHOUSE)
I hereby certify that I own property adjacent to s
(Name of Property Owner)
property located at - S QA— n �� z i ,� ,
(Lot, Block, Road, etc.)
on 6L-9�-7w,�jti� , in lv/"fir" � (4- tv,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.
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DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
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Telephone Number
Date: U