16383_LAURENS, BENJAMIN_19960805

9
CAMA AND DREDGE AND FILL GENERAL Q1638,,�
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 1;�/'r
Applicant Name "" �' �`' ""� L"AU Phone Number r� :6
Address j ivy/ %O
City
Project Location (County, Stateoad„ Water Body, etc.) _
Ab, ,fitt r%,'ves
Type of Project Activity rr',
UZI
PROJECT DESCRIPTION SKETCH
Pier (dock) length 2 E
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 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.
State
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applicant's signature
permit officer's signature
&
issuing date expiration date
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attachments ?#- !Z
In issuing this permit the State of North Carolina certifies that7this project is consistent with the North Carolina Coastal application fee �G "� A
Management Program.

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BENJAMIN B. LAURENS NC 8963234
PAULA S. LAURENS
192 HWY 70 BETTIE PH 919-504-3733
BEAUFORT, NC 28516
Pay To The
Order Of
Wachovia Bank of North Carolina, N.A.
1 nu o 1. NC 28-11
GPI- 16383,�,�
Menro
1076
_ 66-152/531 CC
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSE)
I hereby certify that the State of North Carolina owns
property adjacent to Benjamin B. and Paula S. Laurens, said
property located at 192 Highway 70 East, Bettie, Carteret County,
North Carolina on the North River just past the North River Bridge.
They have described to me, on behalf of the State of
North Carolina, as shown below, the development they are proposing
at that location, and, I have no objections to this proposal. The
State of North Carolina understands that a pier/mooring
pilings/boatlift/boathouse must be set back a minimum distance of
fifteen feet (151) from the State's riparian access unless waived
by the State of North Carolina.
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)
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Print or Ty Name
Telephone Number
Date:

' ADJACENT RIPARIAN PROPERTY OWNER STATFAIENT
(FOR A PIERIMOORING PILINGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to—g"J""'J d. Z'qua�r is
(Name of Property Owner)
property located at I qa Wguy -70 E -BCrt E cn0F01L'V-C.
(Lot,, Block, Road, etc.)
N4�%�' / /E-
on
in C41t re- .1�ff , 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 AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
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Print or Type Name
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Telephone Number
Date: 9 -- 3 0 q t