11773_HAWARD, JIM_19930304

CAMA AND DREDGE AND FILL
GENERAL r , cop IM
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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 15 NCAC
Applicant Name {` ` Phone Number
Address
City et State 1 V Zip
Project Location (County, State, Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION I SKETCH
Pier (dock) length
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.
fiy
(SCALE:
I
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applicant's signature
permit officer's signature
issuing date expiration date
attachments _ / V
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
application fee_ ��y

OUTER BANKS
MARINE CONSTRUCTION
Post Office Box 1988, Atlantic Beach, NC 28512 DOCKS - SEAWALLS - FLOATING DOCKS
[phone] Dealer for Davit Master Boatlifts
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Post Office Box 1988, Atlantic Beach, NC 28512
[phone]
OUTER BANKS
MARINE CONSTRUCTION
DOCKS - SEAWALLS - FLOATING DOCKS
Dealer for Davit Master Boatlifts N
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Post Office Box 1988, Atlantic Beach, NC 28512
[phone]
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OUTER BANKS
MARINE CONSTRUCTION
DOCKS - SEAWALLS - FLOATING DOCKS
Dealer for Davit Master Boatlifts e
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OUTER BANKS MARINE CONSTRUCTION
P. O. BOX 1988 PH. 919-728-4556 tl
ATLANTIC BEACH, NC 28512 66-112 t
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III TO THEID .� . ! r 0
ORDER OF
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MOREHEAO CITY. NORTH CAROLINA 28557 Y".
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
I hereby certify that I own property adjacent to
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Name
located at 2� _'fn S
's property
on
(Lot, Block, Road, etc.)
in N.C.
(W ter Body) (To nd/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 must be set back a minimum
distance of fifteen feet (151) from my area of riparian access=
unless waived by me. .
�I do not wish to waive that setback requirement.
j I do wish to waive that setback requirement.
Description and/or drawing of proposed development: (TO BE
FTrJM IN BY 33MIVIDUAL PROPOSING DEVELOPP2WT)
Signa e
Name
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Phone Number

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
p I hereby certify that I own property adjacent to
J m 1'+C1 's property
Name
located at / ,5- 3 Y R ate'
on
(Lot, Block, Road, etc.)
i
Tip Y.co R-S in Fon,
N.C.
(Water Body) (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 must be set back a minimum
distance of fifteen feet (151) from my area of riparian access*
unless waived by me.
V '
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 DEVELOPHENT)
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Signature
i/v14D1 /(/7
Name
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Phone Number