28854_BUNN, MIKE_20011026

CAMA and DREDGE AND FILL
G E N E R A L J�5
.�� 1
PERM
as authorized by the State of North Carolina r II
Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC
Applicant Name Phone Number
Address i.
City State f"t Zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION SKETCH 4-i
er (dock) Length
Groin Length
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
h(A 4i 44
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 become null and void.
This permit must be on the project site and accessible to the permit of-
ficer when the project is inspected for compliance. The applicant certi-
fies by signing this permit that 1) this project 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.
1
issuing date
(SCALE: %' /C-- /" )
applicant's signature
permit officer's signature
expiration date
attachments
application fee

THIS MULTI -TONE AREA OF THE DOCUMENT CHANGES COLOR GRADUALLY AND EVENLY FROM DARK TO LIGHT WITH DAR
KER AREAS BOTH TOP AND BOTTOM ,.�.� TTOM
1'J�J.�h'f
rr, J,1.11Fr1 %
).
NOT VALID OVER $1,000.00
ISSUING BRANCH-.':
_......... 95677
PAY TO THE DATE O ( 6
ORDER OF 93-5-11/920
IMJL'.
"poz RS DOLLARS BY SIGNING Y
OU AGREE TO THE SERVICE P.O. BOX 9476 MINNEAPOLIS MN 55480 AND OTHER TERMS ON THE REVERSE SIDE.
EXPRESS COMPANY, INC.HI
/�
DRAWEE; FIRST INTERSTATE' BANK, HELENA, MT �u" 1 1 1'7 /� Cb^/CT
PrQ p?U CHAS� - R FOR DRAWER _ 'w'
- CI
THIS •09200SI j11:01?0710451p
DOCUMENT HAS AN AR"I IFICIAL WATERMARK PRINTED ON THE BACK. THE FRONT OF THE 9 2 u■
DOCUMENT HAS gMICRO-FIi1NTSIGNATURE LINE AND BORDER. AI35ENCE OF THESE FEATURES WILL INDICATE A COPY.
■

e n �, (may - _._. �. � A ^ a r- y r...y/ j -
%"' . ? 1 �1 11 54...!_ w : � : 31 `( �,7i.,7 e ^� i'' S C7. i- l.,v� � . _
(FOR A PIER/UNC-OVERED BOAT LIFT)
I hereby cer-,ify that I own property adiac=: to Mi g L)l�1� is
(-N,ime of Property Owner)
property locates at ' C) --f-I VS` —
(Lot, BIock, Road, etc.)
(Waterbodv) (Town and/or( County)
He has described to me, as shown below, t.,e developrpent he is propoaL-i; at tl:at
location, and, I have no objections to his proposal. ' understand (; at a pier/uncovered boat lift
must be set back a minimum distance of fifteen f=t (-5') from my {azea or riparian access unless
waived by me.
I do not wish to waive the setback reuire.•nent.
• aQ 6 Z001
I do wish to waive that setback requL=ent.
DESCR=Q:).ti �-ND/OR DRA VVL-iG OF PROPOSED DEVELOP-NIEN-T:
(To be Fdled in by individu-al prcposirzg develapment)
CAt4L
oS�D
13-1
T'T
-------- _-____
Sig :azure
Pri: t or Type
�41tpoNumber
Dat.::

M a- ke TuAr--\
I I cs -:vIi SI
4TL F� NY/c- yc-o 1\' .0 • a g-S-I a
OH) l '?-�6- '/-a0-7

.) T 1 r r` 77T) d u r. r
(FOR A PIERIUIV�OVERED BOAT LIFT)
I hereby certify that I own property adjac,.n- to
�,'�:time of P ogertv Owner)
property located ac ' Z--) T
(Lot, Block, Road, etc.)
on in CD N.C.
(Waterbody) (Town and, o; County)
0--
He has described to me, as shown below, L;ze development he is proposing at that
location, and, I nave no obje~rions to his proposal. , understanc r at a pier/uncovered boat lift
must be set back a minimum distance or nftern fit (_5') from my area of riparian acc ess unless
waived by me.
I do not wish to waive the setback re uire:ent.
I
I do wish to waive that setback requirement.®�
DESCR=ON A-N-D/OR DR.Aw-L-NG OF FRO POSED; DEVELOP?£E.N�T:
(To be f,IZed in by individual prcposing deveippment)
C +A tj R
�LP2,
13
J
CIL
----- --------r--------------------------------- -
Sig :atu:-t -
Pr_.- or Type Na--'.�2
Tei�onone Numo'e:
Dar.,: p, 1 C{ l
L
j4