21595_STRAITS MARINE RAILWAY_19990426

O
CAMA AND DREDGE AND FILL G��
GENERAL a 021.595
PERMIT w `�
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 15A NCAC
Applicant Name Phone Number 1`>> ?<� ;J4 -7 i
Address
City State Zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
RE ln�.• P-,Fri;.. C.�'.i\�.� r �, � TQ
PROJECT DESCRIPTION
SKETCH
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(SCALE:
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l
Pier docklength
( )
Groin length
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4
( f,lL- �Pvu rc, y� ff)
�.
AIS e
number
c
\
VNC
Bulkhead length
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U:,jiiE r r rt-- 1 E rCAvAT{ .
_41
r. A1?':4A 7 u
µ
max. distance offshore
Al%i1�iG..rl1
1
X
Basin, dimensions
channel
Jc Crl ;
FT-,
cubic yards
! --
--r
I
t iC,jU^\'E i) -r AFT.
Boat ramp dimensions
Other
i
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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.
(/ applicant's signature
permit officer's signature
issuing date expiration date
attachments sue? H . '6GO
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee
Management Program.

....... ....... ....... ....... STRAITS RAILWAY
P. O. BOX 103, PH. 919-729-3471
GLOUCESTER, NC 28528
PAY
TO THE
ORDER OF-
66-30/531
(?c?
--19
FIRST CITIZENS 1-1 -
BANKfjqt�Clllleng Bank & 1rust Company
Morshead Cily. NC 26651
L
FOR ii00000 386 11" 1:0 5 3 LO 0300i:13121L
DOLLARS

<— �
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to Z l v ci / '- /n o-�7z f/. 's
Name of Pro erty Owner)
property located at L o S
(Lot, Block, Road, etc.)
on / �N 5 ",- S , in G � vc -A" , 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
pilings/boatlift/boathouse must be set 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 do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be ,filled in by individual proposing development)
f
you
----- -------------------- ---------------------
, -'J dll�)' t
ignature l /
Ts , Z 11
Print or T Name
Telephone Number
Date:

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to J'% ` / i >?. 's
(Name of Property Owner)
property located at L <� � � � y� ,
(Lot, Block, Road, 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
pilings/boatlift/boathouse must be set 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 do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
,J
_.
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Signature
Print or Type Name
Telephone Number
Date:
lJ
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