15903_LAMSON, WADE_19961205

CAMA AND DREDGE AND FILL
GENERAL
4 1 0.II5901- --
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 6�w ^ f-§4
Applicant Name &VfIPE
Address `'d ' ZOP'i,
n—
Phone Number
City :' /� r'✓� State. / Zip
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Project Location (County, State Road, Water Body, etc.) 2� =• � �
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Type of Project Activity �c�r/..�i ;„�,;,•,,;�,,tF«„a hay-� �� ��- ��oC•. �l•"r•;�, �,
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PROJECT DESCRIPTION
SKETCH
(SCALE:;�� i
Pier (dock) length
a
Groin length
number
Bulkhead length
1�
�P� 'J•t
�� _,T.„� -�
% /'7/ �k 4j ,� J
max. distance offshore
Bash, channel dimensions
cubicyards60(��
%
d--io--A► 0
�1
y
Boat ramp dimensions(',?
Other
`fed,
!
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.
l
applicant's signature
l permit officer's signature
I:21s/9S- :&6
issuing date —� expiration date
attachments 0 2,/ _ /S00
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
application fee �� 4 /3f2r
,

x
WADE P. LAMSON
JOAN E. LAMSON NOV 1995
110 ARBORVITAE DRIVE 79
P.O. BOX 2967 [phone]
PINE K SHORES, NC 28512
TOO TTHEHE �
llll /1
ORDSMF
UNITED FEDERAL SAVINGS BANK
MOREHEAD CITY, NC
FOR/S9bJ-
1: 2 5 3 17 12 78j: 0000 19 644 111, 38 2 5
13825
66.7127/2531
$ FAT°
400 DOLLARS
ED CHECKING

4e
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
Z4)A CA 1lo�,!?o 's property
located at % 0 A --I 03p2 v l -(,467 1(J4;:5— , on
(Lot, Block, Road, etc.)
_1'0CK ►'2�4S/A/ 04"L in _l /�/� f lflfol—l— ri S' , N.C.
(Water Body) (Town and/or County)
He has described to me as indicated below the development
he is proposing at that location and I have no objections
to his proposal. I understand that a pier, pilings and
dredging must be set back a minumum distance of fifteen feet
(15') from my area of riparian access unless waived by me.
I do not wish to waive that 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.)
D U E24 C- L A. -Zell f 2 x 3 S x ?' 062dT H i 45—,W a cJ i._/ p) �S` e 0,
/081
;gin �
2 `9
Date
' Signai£ure' '
P
_rint Name
Phone Number

12-13-1595 10: 55AI I
FROM rnHmNURSE RECRU I THENT
TO
9191924U3111 P . 027'�
ADJACENT RIPARIAN PROPERTY
OWNER
STATEMENT
9N,
T h/e_)
re,ty certify that I own property adjacent to
,,i/A6��y Z-A�W s property
located at on
_,._. (Lot, Block., Road, etc -)CZ in
S�datec body) (Town and/or County)
He has described to me as indicated below the development
he is proposing at that location and I have no objections
to his proposal. I understand that a pier, pilings end
dredging nnust.be set back a minumum distance of fifteen feet
(15`) from my area of riparian access linles5 waived by me.
1 do not wish to waive that setback requirement.
I do wish to waive that setback requirement.
Descri t_�ion and/or_ drawing of proposed development:
„o :>c filled .in by individual proposing development.)
/ t N'1N c' r r 1zC-t0 q IH C 0'T• 'a04T L l rT- A zeA —
I�UCH�- /z x 3C' x �' 0AFp�rroH '8'r''W0 iwa 447 cC,
- 4
Signature
Print Name
__CD / �6 V 2
-Date Phone Number