28889_GOODWIN, EMMETT_20011008

KS
Applicant Name
Address
CAMA and DREDGE AND FILL
G E N E R A L
PERMIT
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
Phone Number
City State r,�a zip i 1 z 9
Project Location (County, State Road, Water Body, etc.)
i 16140!/ 414 14
Type of Project Activity 14
ana anacnea general ana specanc conaiuuns. rrny viviauvn v1 ufese teens
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.
applicant's signature
' � r
-�-
permit officer's signature
issuing date expiration date
12Ct
attachments
CL 59 ,R4 7
application fee

OUTER BANKS MARINE CONSTRUCTION BB&T 5059
P.O. BOX 1988 BRANCH BANKING AND TRUST COMPANY
ATLANTIC BEACH, NC 28512 MOREHEAD CITY, NC 28557
[phone] 66-112/531
10/2/2001
PAY TO
ORDER OFE D.E.H.N.R. I ** 100.00
One Hundred and 00/100************************************************* ************* DOLLARS
Security features
included.
: Details on back.
D.E.H.N.R.
MEMO Goodwin — Nr
ro
'" II'0050S911' 1:0S310L1,21,1:123L0L529S11■

OCT 0 3 2001
September 27, 2001
I, Louise Ford, do give my permission to Outer Banks Marine Construction to build a boat lift on
my property located at 216 Pond Drive, Atlantic Beach, NC.
Louise Ford Date

ADJACENT R TARL-�N PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent toem m� Gta�lj�'s
(Name of Property Owner)
n It (1
property located at
(Lot, Block, Road, etc.)
on in P D t L. , N.C.
(Waterbodv) (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
pilin¢s/boatiift/boathouse must be se: 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. OCT 0 3 2001
I d-Q wish to waive ti^.at setback requirement.
DESCRIPTION AND/OR DRAWLNG OF PROPOSED DEVELOPtifENT:
(To be filled in by individual proposing development)
WA
151n ry-,Btl
ak-)(3 >>2t, 5P2.j S
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di
--------------------------- -----------------------
IL / /'V' /J
- &Sian
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Print or Type Name
(�- U C- S--/ 742
Telephone Number
Date: Q 22.Z % CT

ADJACENT R-J[PARUN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSE)
OCT 01 2001
I hereby certify that I own property adjacent too Y Yam, C Wrb d
(Name of Property Owner)
property located at C l DD 11 Ub
(Lot, Block, Ro d, etc.)
on � _,in �� �� , 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
p din gs/boadift/boathouse must be se: back a minimum distance of fifte--n feet (15') from my area
of riparian access unless waived by T-ne.
�1
I do not wish to wai,.-e the setback requirement.
I d a wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWr G OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
Siznature
Print or Type Name
Telephone Number
Date: 9