23110_WILLIAMS, JENNY_19990726

CAMA AND DREDGE AND FILL
GENERAL N? 2311, —),c
41
PERMIT A7 4 1., 42K,�
auauthorized bythe State ofNorth Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
inanarea ofenvironmental concern pursuant to15ANCAC
Applicant Name
Address
r/^,
_'
Project Location (County, State Road, Water Body, etc.)
Type ofProject Acdvity
Phone Number
Zip
�
PROJECT DESCRIPTION SKETCH SCALE:
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore 44
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
This ponnic is subject no compliance with this application, site
drawing and attached general and specific conditions. Any
violation of d`e,o terms may subject the permittoc to a fine,
applicant's signature
imprisonment or civil action; and may cause the permit to be-
,� �
como null and void.
,' /61.
permit
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 l) this pro-
ject is consistent with the local land use plan and all local
issuing date expiration date
ordinances, and 2) a written statement has been obtained from
'
adjacent riparian landowners certifying that they have no
attachments
objections tothe propomdwork.
In issuing this permit the State of North Carolina certifies that
this project i, consistent with the North Carolina Coastal
application fee
Management Program.

PAY TO THE
ORDER OF _
**50.00**
I I. .;l DOLLARS
aB&T
BRANCH BANKING AND TRUST COMPANY A LHORFZEDIGNATU E a.
WILSON, NORTH CAROLINA 27893
F2755-000 (10/97) I e-r
�J ry
MEMO/PURCHASER `rLl mer Marine Cn-,t-rLLC1'inn
III S99753111, 1:05110112 0:10 L9010097,11
THE ORIGINAL' DA,CUMENgT HAS,�ABEFLECTI,VE WATERMARK,ON THE'BAC,K a;,,�;,HOLD AT AN ANGLE .TO 1/IEW WHEN,C_HECKING'THE ENDOR_S,EMENT: ;0

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIUNCOVERED BOAT LIFI)
I hereby cer-dfy that I own property adjacent to 1( (,JAL(. Mpg 's
(dame of Property Owner)
property located at a o 4 s+tt epu t4lF -p(Z
(Lot, Block, Road, etc.)
on B'6'�.uE SoUJD , in IIP_Qq`lTIC-- rt3c-f4 , N.C.
(K'aterbody) (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/uncovered boat lift
must be set back a minimum distance of nftern fit (I5') 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.
DESCR=ON A.N'D/OR DRANVDiG OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
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hicnatu e
Bf_#� J. Npla-t
Print or lype Name
2t-5a-1z &- 0»q
Telephone Number
Date: 71at, 9

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIUNCOVERED BOAT LIF`I)
I hereby certify that I own property adjacent to 7E12IZ4 WI LLI Alps: Ps
(dame of Property Owner)
proper-y located at Q0 4- Sty FLING T(L-.
(Lot, Block, Road, etc.)
on jD AWE S o qHD , in )q FLq-t- -1L tBCV , N.C.
(K aterbody) (Town and/or County)
He has described to me, as shown below, the development he is proposing at that
Iocation, and, I have no objections to his proposal. I understand that a pier/uncovered boat lift
must be set back a minimum distance of nfte`n fit (15') from my area of riparian access unless
waived by me.
/ � .
�/ I do not wish to waive the setback requirement.
� L
I do wish to waive that setback requirement.
JUL 2 C 1999
DESCR=ONA-N-D/OR DRAWENG OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
---------------------- r1t-------------------------- ----------
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igrature
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a�
Print or Type Name
aka -
Telephone Number
Date:

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