22221_UZZELL, RANDY_19990428

CAMA AND DREDGE AND FILL
GENERAL N:' 22221—<f t%c�
PERMIT Y
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 �� �` f'' Z Z k f
Address l 6 ; v� d� �? �� �r f �� •r'"�
City f_, cj. c' v State _
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity o t7
PROJECT DESCRIPTION I SKETCH g U, P714
Pier (dock) length
Groin length
1Orw j
4
a4
--
v
�J
number
Bulkhead length
max. distance offshore
Basin, channel dimensions-
cubic yards
Boat ramp dimensions
Other
pp
15 r 1 U
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.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
Phone Number r
_ Zip
c1 t. � % � �>• i�
(SCALE: )
t
G' ,.
I y
v
h oti5o' lc
applicant's signature
permit otticer's signature
�f issuing date expiration date
attachments
application fee

RANDY UZZELL
66-211764
51102 aooz
3090667 PH. 919-522-3017 1102
102 RHEM ST.
KINSTON, NO 285//01
JJJ
L lj
- I)c)LLA Itti
First Union National Bank
F� ® of North Carolina
i:0 5 3000 2 19i:
4000 15 29 26um L 764

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIT/BOATHOUSE)
I hereby certify that I own property adjacent to � rwaae( ? !/l 33 e l ( 's
(Name of Property Owners)
property located at y q
/�
(Lot, Block, Road, etc.)
on %/� u e � u /I1,k , in �tlaIV �, � ��c. , 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 the setback requirement.
---------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
ro'q T-
--- -------7--�y-- ---
,--,/ ",r/ fie
-D
eXcb'�-i"cs
---1--j-J.�-vr`r--r=`-----
Signature
Print or Type Name
Z-S Q. - ) -2- (o —1y Zi
Telephone Number
Date: 3

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSIBOATLIT/BOATHOUSE)
I hereby certify that I own property adjacent to , N o/ k //A j e, 's
(Name of Pro erty Owners)
property located at
,A
(Lot, Block, Road, etc.) 1
on oe �rz, - Q 7 o G- nu c� , in ,oO-1 /k, .z 7! 4 %�� li G , 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 the setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
-- ----------------
�o CA-- !F�s
S
Print or Type Name
�3 e ) s—?�- Zj79
Tele one Number
Date:
`Z