23516_READY, BARBARA S_19991012

CAMA and DREDGE AND FILL
G E N E R A L t'td C
PERMIT 0
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 D?//. /•206
Applicant Name Phone Number '2P,4
Address
City State Al( zip '':�S i
Project Location (County, State Road, Water Body, etc.)
/ J r
Type of Project Activity3, ; Y r� `z/1 Y��' -� �. C��
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 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.
issuing date
07/! /,&v
applicant's gnature
permit officer's signature
expiration date
attachments
application fee

7143
BARBARA S. READY
NCDL 1291131 SSN 2
246- 6-1787 ,'
P.O. BOX 57 PH. 252-726-1048 Ilj
ATLANTIC BEACH, NC 28512-0057 /� _ J�, C; 66-30/531
DATE / �/ �� 133
PAY O d
TO THE
ORDER OF I
'ZILLARS B `
,/ l��"(IPWUTIZENS133Firrt-f.YtimmB kBT ust Company >/♦r. NK�At1�rRic Bar diN.C. 28512,
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FOR
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual applying for Permit: av cxV `" S ct_
Address of Property:
() v\ s6\ Alt 1 e, . C 1y F 12 + /3,) C a r `�d t--e-+ C b .
(Lot or Street #, Street or Road, City & County)
i hereby certify that I own property adjacent to the above references property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, Hestron Plaza II, 151-B, Hwy. 24, Morehead City, NC, 28557 or call (252) 808-
2808 within 10 days of receipt of this notice. No response is considered the same as no objection
if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be
set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Telephone Number With Area Code

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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual applying for Permit: 8 a r %U_ �-c;- S ; Re c -&,
Address of Property:-3 J D N ' K i n S4yy)
(Lot or Street #, Strut or Road, City & County)
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, Hestron Plaza II, 151-B, Hwy. 24, Morehead City, NC, 28557 or call (252) 808-
2808 within 10 days of receipt of this notice. No response is considered the same as no objection
if you have been notified by Certifced Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be
set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Signature Date
Print Name
Telephone Number With Area Code
OCT 0 7 1999
1 MOREHEAD j

SENDER:
■ Complete items 1 and/or 2 for additional services.
■ Complete items 3, 4a, and 4b.
■ Print your name and address on the reverse of this form so that we can r4lurn this
card to you.
■ Attach this form to the front of the mailpiece, or on the back if space does not
permit.
■ Write "Return Receipt Requested" on the mailpiece below the article number.
■ The Return Receipt will show to whom the article was delivered and the date
delivered.
3. Article Addressed to:
�Y +V�rS.ai�tnl�r—
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Ii Received By: (Print Name)
i orl 6. Signature: (Addressee or Agent)
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PS Form 3811, December 1994
I also wish to receive the
following services (for an
extra fee):
1. ❑ Addressee's Address
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2
2. ❑ Restricted Delivery
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Consult postmaster for fee.
a ,
4a. rticle Number
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4b. Service Type
3
❑ Registered Certified
❑ Express Mail /❑ Insured
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❑ Return Receipt for Merchandise ❑ COD
7. Date of Delivery
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8. Addressee's Addr (Only i requested
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and fee is paid)
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102595-98-B-0229 Domestic Return Receipt

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UNITED STATES POSTAL SERVICE First -Class Mail
Postage &Fees Paid
Permit No. G-10
• Print your name, address, and ZIP Code in this box •
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