28856_EDWARDS, ROY_20011031

CAMA and DREDGE AND FILL
G E N E R A L
PERM I T"r
as authorized by the State of North Carolina
Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC ' '
Applicant Name i
Address
Phone Number
City State zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
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.
.9856
applicant's signature
permit officer's signature
I
issuing date
expiration date
attachments
application fee

THIS MULTI -TONE AREA OF THE DOCUMENT CHANGES COLOR GRADUALLY AND EVENLY FROM DARK TO LIGHT WITH DARKER AREAS BOTH TOP AND BOTTOM
NOT VALID OVER $1,000,00 .6-- 006711
ISSUING BRANICH','
DATE jj;!,..l- !.;1::! 93-541/920
PAY TO THE DE/)-p
ORDER OF
jj
DOLLARS BY SIGNING YOU AGREE TO THE SERVICE CHARGE
0 rp AND OTHER TERMS ON THE REVERSE SIDE.
�"Vllloz I
DRAWER: TRAVELERS EXPRESS COMPANY, INC. m,
SER
P,O. BOX 9476, MINNEAPOLIS, MN 55480
H , �R DRAWER
DRAWEE: FIRST INTERSTATE BANK, HELENA, MT
C�DD
S tj C
C 16 m 14 -per- m 17- PXOS CITY & STATE
0 F3 1006 ?ILO 1:09 200541 11:0 1707 104SI092111
0 THLS DOCUMENT HAS AN AR71FICIAL WATERMARK PRINTED ON THE BACK THE FRONT OF 1 HE DOCUMENT HAS A MICRO -PRINT SIGNATURE LINE AND BORDER. ABSENCE OF THESE FEATURES WILL INDICAI E A COPY. ■

10/31/2001 08:59 252-7524508
rT fc r� . lt,L
fiFOR A P2
i hem' ' :.e�-ify t? at T own P
r r .PMERCER GLASS PAGE 01
1r� L� �1�t� c�G4tJC '0LtAN wr._-
�.ary3-r .�-� �5{
o rzv adjzcent tot - fl
. e oi-Pr•Opei7ty OS�rIIE�)
prop�a;-rV locac r.d a: 47 _ r f I
(Lot, Xoek, Rmc!, etc„-)DL -Irn raxol in 0+ &--xm c�
(Waterbndy) t-f'bw t and) Q7.1 Coutxty)
, is has des nbi to me, 2.s s C +, OP-70"", tree developTe,:t ac;, i,5
iocaijan. and, I hLv. nc obj&--Ecns to'LL prcros:-.I. 1 �:n esstu7d 4.��t a bier/> rlcov�r bc3�G liri
miL:st be setback a m-;.nimurn distance of fi*'.zten ferc (.5') zar, ny;a:ea or ;iparizaa ac�=s unless
wzlved by me,
ado ^ wish to waive ' ae ,xlbac� r��ire:nw�c.
I dq wish to waive Lhat s Ccack
(7,0 be filled f z by
V,?N G Q .�rOIQSEb j D y.iP'�.�T:
C� Y 11 r �'JTt 7iQSZiL� dzw oOm�Tj;d� 1 �
Dtj C.
I � �
- J
�'tM
'&� IV4 10
Pr--torType Na3ne
Tei�r?zcne Nu;t;b�r

(FOR A PIERI UNC O VERED BOAT IM
I hereby cerify chat I own property adjacent to W AADS —'s
(- e of Proper-t , Owner)
ro rtv located at v� `7 . cS _K_ n-
r re --
(Lot, Block, Road, etc.) -�
in4& 't4 e
on ` N.C.
(N'Vaterbodv) (Town and/ori, County)
He has desc.-ibed to me, as shown below, t ,e deve'.optent he is propcsL -I at 'a.
location, and, I have no obj�cions to his proposal. : understand dhat a pier/uncovered boat lir
must be set back a minimum distance or: riftevn [e't (:5') from mylarea of riparian access unless
waived by me.
I,do ri?t wish to waive the setback re.:uire Went.
I do wish to waive that setback requLr�ment..
--------------------------------------------------------------------
DESCRIP ON A-N-D/OR DRAwENG OF PRO POSED; DEVELOP-'YM'N?:
('7o be )Ued in b individual prY posing develj?p 5 ,34),
Awid o�
S
��;r- .ire
Pr':.t or Type Natm:2
-- — �� 6
Tel:-phcne Number
M

TRANSMISSION VERIFICATION REPORT
TIME 10/16/2001 05:14
NAME
FAX
TEL
DATE,TIME
10/16 05:13
FAX NO./NAME
2475880
DURATION
00:00:23
PAGE(S)
01
RESULT
OK
MODE
STANDARD
ECM

_ ,,�, r _ n
tiC '�.� ��1�� t��'�Nt Si!�iE�.�'.1;J.i
(FOR A PIER1UNC0VERED BOAT LIFT)
I hereby certify that I own property adiacen: to i5b&J >S 's
of Propert v Owner)
ProPerty 1ocated ac a 1 -..A)-
- S AA—M-94—z—(Lot, Block, Road, etc.)
on m---._C1--- in N.C.
(Waterbody) (-I own and/or] County)
He has described to me, as shown below, �^,e deveiopment he is proFesir; at -Ira:
location, and, I have no obje--tions to his proposal. understand e~at a pier/uncotier�� boat Lift
must be set back a minimum distance of fif%-n i t (:5') ftom my area of riparian ac:ess unless
waived by me.
,do not wish to waive the setback rewire neat.
I do wish to waive that setback-
----------------------------------------- — --- — ------ ------------------- -----------------------------------------
DESCR=,).N -N-D/OR DRANN-DNG OF PROPOSED;DEtiELOPNfF—NT:
("ro be)VIed in by individual err.posing1 TO
deveCppmer�l�
tg
tj
I y ' ON
LET bs
t4A';'l�N 6
E`DW�rj fig4atuO
Prl: or Type Name
f Numb
T-[...,he n N r �
Dat : � --
f
`40

TRANSMISSION VERIFICATION REPORT
TIME 10/18/2001 01:01
NAME
FAX
TEL
DATE DIME
10/18 01:00
FAX NO./NAME
12525225245
DURATION
00: 01: 03
PAGE(S)
01
RESULT
OK
MODE
STANDARD
ECM