15994_JONES, BRENDA_19960312

CAMA AND DREDGE AND FILL GENERAL ca�? 0.5994-C
Y_
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 ��% �� • //oo i Zoo
j
Applicant Name Phone Number
Address °��c� �•�^r_� Yam, '>�I
City State �C Zip ZeS 74
Project Location (County, State Road, W.4ter Body, etc.) EfC' rr� o
Type of Project Activity-u1j.,, /! !?_ , Gov ° k v s✓;eld ,yr/au ° �«� /,,f�� a �,v' ? `
S-�/J►�'ri !�✓.a� �'c.y, ,,,. f/fi � y �4,,faP r'r ��ulfS � �� �+! i"cr �r✓G�.�,� �..
f. ° 90u
.2 k'.' //�
PROJECT DESCRIPTION SKETCH (SCALE:
Pier (dock) length �{
�"/
-fU
omlength/
Gr i
number i ��"^�-.�� 1 ��1�ati "�.-j� Y! II �
Bulkhead length �� �" 8 Y �7 4- r $�I �0(, . I
6t� s!;7
max. distance offshore � �• a
�{" ! U�_. -
Basin, channel dimensions
Oki Izo,_, ?
cubic yards
jxi
Boat ramp dimensions
Other 1 cults y�z ?.
rF i i
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.
applicant's signature
permit officer's signature
%� /�%�� ,/ i`9� i �Z Diu: _� •
issuing date expiration date
attachments 07 tl • / /0O r: . / 2 0
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee
Management Program.

IN
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62502476490
SERIAL NUMBER
YEAR, MONTH, DAY POST OFFICE
U S. DOLLARS AND CENTS
PAY TO
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CHECKWRITER
ADDRESS
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6 250 247649011'

ADJACENT RrPARLAN P-RQP TY 011 NM STATEMENT
(FOR A IE A100RING PILLVGS BOATLI /BOATHOUSE)
I hereby certify that I own property adjacent to Aunz.'e-, ';oLAa44` 's
(Name of KopMy Owner)
property located at A` /? -- 2-/19 -7//D
(Lot, Block, Road, etc.)
on iJ/ A"" 10p,,o -%- %'J /r�s— , in �I/� hh� /�.� ,7- G'f- ,,- GIje--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.
DES RIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT :
(To be filled in b ' ual proposing developme
77
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A.
a
Signature
An tQ
Print or Type Name f
9/9- 71&-5a�.S
Telephone Number
Date: 'q"

ADJACENT REPARIAN PROPERTY ONNNER STATEMENT
(FOR A IE 14100RLVG PILINGS(BOATLI BOATHOUSE)
I hereby certify that I own property adjacent to Aw,,.& 2taie, .' is
(Name of PAperty Owner)
property located at A% 4L--- S �� ,� �% i D ,Rme �✓��r ,/`�i 1>�
(Lot, Block, Road, etc.)
P �
on in i' �%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 AIND/OR DRAINTPiG OF PROPOSED DEVELOPMENT:
or -lype Name
:MaA--(