16348_HIGGINS, THOMAS_19960710

CAMA AND DREDGE AND FILL �y ; ®i!$
GENERAL
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC
Applicant Name �"' �f r S 1 1K Phone Number
Address r� �; F" .-,r" "tom _ a
{ r!
City )15 �� r, t�..�`^ !"' State •' Zip Z. � n
Project Location (County, State Road, Water Bod'x, etc.)
Type of Project Activity 01 e d , Y 1 / is- ' ' "" �� �� h. ' a
PROJECT DESCRIPTION SKETCH e � , 7 (SCALE:
Pier (dock) length `) S
Groin length '�+ (? 7 %' F r "P M c
number G r U 7 �J 7� n �' 17d r f
Bulkhead length f 7~)
l� S it )A
max. distance offshore<7
Basin, channel dimensions
cubic yardsr
Boa"t.ramp dimensions
Other (,
3
5,.
d
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 be-
come null and void.
This permit must be on the project site and accessible to the
permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that 1) this pro-
ject 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.
applicant's signature
v permit otticer's signature
issuing date expiration date
attachments'
application fee

OUTER BANKS MARINE CONSTRUCTION
P. O. BOX 1988 PH. 919-240-2525
ATLANTIC BEACH, NC 28512
PAY
TO THE
ORDER OF
WN
BfW
..............N.­.Tc .M Y
MOREN EAD CITY, NORTH CAROLINA 036]
FOR Pc. 3 R t i
u'0000 28L, ?"I i:053 LO LL 2 0: 123 LOIS
2847
DATE L 531
00
_DOLLARS
ar

ADJACENT RIPARIAN PROPERTY OWNER STAZUVIENT
(FOR A PIER/UNCOVERED BOAT LIFT)
I hereby certify that I own property adjacent to Tkagias lam. -HtC� (CIS `s 's
(Name of Property Owner)
property located at 1q 13 112m l ST W-() i4f Off [ , ►�C ,
(Lot, Block, Road, etc.)
on _iWULoeS %et -,in
(Waterbody)
6enu von r
(Town and/or County)
. N.C.
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/uncovered boat lift
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 by individual proposing development)
Signature
Print or Type Name
Telephone Number
Date:

Post Office Box 1988, Atlantic Beach, NC 28512
[phone]
' A)
N
00(--? ,�.--"'Z
0
qc, r7 d ol� -lam r�
OUTER BANKS
MARINE CONSTRUCTION
DOCKS - SEAWALLS - FLOATING DOCKS
Dealer for Davit Master Boatlifts N

ADJACENT RIPARIAN PROPERTY OWNER STAMvMiT
(FOR A PIERIUN(:OVERED BOAT LIFT)
I hereby certify that I own property adjacent to l'L l—iiS 1�)"Cc'6 1 us x 's
(Name of Property Owner)
property located at Nos 13 FI20L i S CWE7 Ro-Fo
(Lot, Block, Road, etc.)
on I 0'Q [-0 Q S C f k , in bEf�o Foe T , 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/uncovered boat lift
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 by individual proposing development)
---------------------------------------------------------------------- - --- ---------MM--------------------------
d /L�
Signature
M i L- f+ rq
Print or Type Name
Telephone Number
Date: '7 -c� — Ci �