10751_Jay N Payne_19920402

Applicant N e
Address
City
CAMA AND DREDGE AND FILL
GENERAL IJI
PERMIT����- -,e 9 07 1
i 5
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and t e R pmm' s
in n area of environme ncern pursuant to 15 NCAC T'".
Phone Nu�6er k I — -
Pr,o,j� ct Loca on County tate
Type of Project Activity
G
PROJECT DESCRIPTION
Pier (d ck) I ngth
r, C� f/
Groin length
number
Y
Bulkhead length
di ante offore,��
Basin, channel dimerWons
State
Water Body, etc.)
rJ
SKETCH � (SCALE: )
I K.1,61 4?,-j, 0
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. j
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 -
is consistent with the local land use plan and all local
antes, and 2) a written statement has been obtained from
adjacent riparian andowners certifying that they have no
o le ons o e proposed work.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
attachments
licant's
permit office
2--%t
ssuing date / ex it
lz�i��
application fee
(}r'/1/
signature
atu re
on date

JAY N. PAYNE 0 g g 7
MARGARET B. PAYNE
8615 SOUND DR. 919-354-3671 -3 •-ZS'19-2 66-25/531
EMERALD ISLE, NC 28594
Pay to the
Order of
i O
Dollars
����NCNB National Bank
of North Carolina
Emerald Isle 1 Swansboro Deluxe Bankln Customer
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relare no encroachments
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I DATE
PROJECT NO
REGISTERE0j4AM,j§0RVEYOR REGISTRATION NO. I 50' JA-,IUAR� 9, 920005
SURVEYED BY DATE john p. mclean engineering associates
a I- I 5-rot-3 I U 1 -UE3-q Enginccring Surveying Land Planning
FIELD BOOK EI 51 DRAWN BY
101 MANATEE STREET CAPE CARTERET 3WAN3801t0 KC, 2eee4
PAGE I 3 r5 919 - 393 - 22129

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
I hereby certify that I own property adjacent to
's property
Name
located at ,L c : G> .6 e0 r « Z y r.2 ('"& , on
(Lot, Block, Road, etc.)
in gL2Lc% , N . C .
(Water Body) (Town and/ r 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 must be set back a minimum
distance of fifteen feet (151) from my area of riparian access
unless waived by me.
(/ I do not wish to waive that 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)
U�/l <
SignatureL'111
Name
Phone Number

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