23592_DAVIS, STACY_19991025

CAMA and DREDGE AND FILL
G E N E R A L
OCT 2 9 1999 i
PERMIT
as authorized by the State of North Carolin COASTAL MANAGEMENTMOREHEAD
es
Department of Environment and Natural Resourcan e o
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
Phone Number
231592
>ources Commission
Zip
PROJECT DESCRIPTION SKETCH (SCALE:
Pier (dock) Length - FFTTTTTTTTT77�-,���- ��
Groin Length
number
Bulkhead Length
max, distance offshore
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
f applicant's signature
may subject the permittee to a fine, imprisonment or civil action; and
may cause the permit to become nulI and void. !Z.
This permit must be on the project site and accessible to the permit of-
/ permit officer's signature
ficer when the project is inspected for compliance. The applicant certi-
-,_ % / - C)- ;
fies by signing this permit that 1) this project is consistent with the local
issuing date expiration date
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.
attachments
In issuing this permit the State of North Carolina certifies that this project
is consistent with the North Carolina Coastal Management Program.
application fee

.--ANNA KAfOAVIS . ..... 3,110
STACY M.- DAVIS
106 STACY RD _77- 66-152/531 CC
HARKERS ISLA_!4C 28531
Datw
Pay Tb- The
Dollars

J
CAMA
-25 2/.,.d
October 26, 1999
Stacy Davis
106 Stacy Rd
Harkers Island, N.C. 28531
Dear Stacy:
Attached is General Permit #C-23592 to install 86' of rock rip rap at your property located on 106 Stacy
Rd., Harkers Island.
In order to validate this permit, please sign all three (3) copies as indicated. Retain the white copy for
your files and return the yellow and pink signed copies to us in the enclosed, self-addressed envelope.
Your early attention to this matter would be appreciated.
Sincerely,
Charles O. Pigott
Coastal Management Representative
COP/rcb
Enclosures
North Carolina Department of Environment and Natural Resources James B. Hunt Jr., Governor • Wayne McDevitt, Secretary
Division of Coastal Management Donna D. Moffitt, Director
Morehead City Office • 151-B Hwy. 24 / Hestron Plaza 11 Morehead City, NC 28557 • Phone [phone]

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to1,2mq/11 pj�-� J
7c
(Name of Property Owner)
property located at A,46K�01\/p4 L j 3( S7-47-�F APQQ4) i33�- ,
(Lot, Block, oad, etc.)
on
, N.C.
(Waterod
Y) 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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing develonment)
N
s
Signature
/V,1e1nA/V elyAq
Print or Type Name
Sq-3 -- 76 7 -,a13 7
Telephone Number
Date:

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Special Delivery Fee
Restricted Delivery Fee
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Whom & Date Delivered
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Date, & Addressee
TOTAL P taa 1 aes
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UNITED STATES POSTAL SERVICE
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
• Sender: PI ase print your name, address, and ZIP+4 in this box •

■ Complete items 1, i. Also complete
item 4 if Restricted ry is desired.
■ Print your name anc _ress on the reverse
so that we can retul Lhe card to you.
■ Attach this card to t, ie back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
r�
A. Received by (Please Print Clearly) I B. Dat? of
C. Signature '
X ❑ Agent
,jj , ❑ Addressee i
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3)OK"gistered
e Type
rtified Mail ❑ Express Mail
❑ Return Receipt for Merchandise
❑ Insured Mail ❑ G.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number (Copy from service label) Q
-3 -3
PS Form 3811, July 1999 Domestic Return Receipt 102595.99-M-1789