28996_JOYE, MICHAEL_20011010

CAMA and DREDGE AND FILL
G E N E R A L
PERM I T
as authorized by the State of North Carolina
Department of Environment and Natural Resources and the Coastal Resources Commissior
in an area of environmental concern pursuant to 15 NCAC
Applicant Name Phone Number
Address
Citv I State ,,
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION SKETCH '
Pier '(dock) Length
Groin Length
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
Zip
! rF ./. ,i,4 1,
JV
Q96 - 3
(SCALE: /V .,, t )
This permit is subject to compliance with this application, site drawing
and attached general and specific conditions. Any violation of these terms applicant's signature
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- permit officer's signature
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 issuing date expiration date
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. attachments
In issuing this permit the State of North Carolina certifies that this project
is consistent with the North Carolina Coastal Management Program. applic,

....... ...
UNITED STATES SERVICE® POSTAL MONEY ORDER 15 0 -800
90001110 Ls
* 1 0 0 * 0 0
PAY TO
CHECKWRITFR
IMPRI
still kA r)
NT AREA
.14
1,J Dom . .....
ADDRESS
FROM
A S
ir
-77
c O.D. NO. OR
USED FOR
NEGOTIABLE WILY (N THE U.S. AND POSSESSIONS
1:00000800 21: 9000 213 3 1 LCILl"

ADJACENT RIPARLUN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGS/BOATLIF (BOATHOUSE)
I hereby certify that I own property adjacent to s
(Name of Propertry w r)
property located at /4::2r , ,
(Lot. Block, Road, etc.)
on M.L�,�n � , in ��,'.�7, &'� �� 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
pilingsiboatlift/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.
I wish to waive t;.at setback recuirement.
DESCRIPTION AND/OR DRAWD G OF PROPOSED DEVELOPNfE\-T:
(To be filled in by individual proposing development)
Signature
Print or yp Name
Telephone Number
Date: %0 -- <2 D / 1_

ADJACENT RIPARL-kN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSE)
;70
I hereby certify that I own property adjacent to's
(Name of Property`Ow er)
Property located at �'r''��r ' Y sc..- 6/U'4
(Lot. Block, Road, etc.)
on in 'y zt� i� c� ';�xr N.C.
(Waterbody) (Town and/or County)
He has described to me, as s;,own below, the development he is proposing at that location,
and, I have no objections to his proposal. I understand that a pier/mooring
pilinps/boatlift/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.
I Q wish to waive tf.at setback requirement.
DESCRIPTION AND/OR DRAWLNG OF PROPOSED DEVELOPMENT:
Print or Type Name
745, — a %
Telephone Number
Date: zo—