23217_WILLIAMS, JUNE B_19990830

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• CAMA AND DREDGE AND FILL
GENERAL ,fie 23217 -
PERMIT
�A�L I c C., ,��; `� J
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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
Address
City State Zip
Project Location (County, State Road, Water Body, etc.) _
L.5 rY
Type of Project Activity
_ F IA1
PROJECT DESCRIPTION SKETCH (SCALE: �� )
Pier (dock) length Q�� {. L1`1«i tf li>/J t.-
Groin length Li
il'i l-_ C kc' +�v/t, r� �viF'•.'F �,�,L Mu.�"
number �i�Ll'riii_ N t\i;✓�IR f.al) j� krtit= L. i-f� �ltt2=�D �
Bulkhead length
4
max. distance offshore
Basin, channel dimensions I'1{T. t '�T; i
C=`�T' .j _f-' � �-) Cis
cubic yards X
Boat ramp dimensions
Other=� `t
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,
applicant's signature
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's signature
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 issuing date expiration date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that f,
this project is consistent with the North Carolina Coastal application fee
Management Program.

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9792
MARINER REALTY, INC.
P.O. BOX 750 249-0264
ORIENTAL, NC 28571 2 9 9 66-30/531
472
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(Yaylo'd �• C A I $ SO • v
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CITIZENS 412
KOriental. N.C.Bank d Trust Company ^ _
Oriental. N.028571 p,[.��:)A
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y� II'009792om i:OS31003001:0047L2003379II'

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Jam" E b. V'IILk-1 o,w,s
is property located at t\pq L IQL La•J E
lot, block, road, etc.
on �AQPG%A G1lANaf&i. in ���ENTA.L N.C.
(body of water) (town and/or county)
The proposal has been described to me.as shown below: the development, a
pier/ bulkhead/ structure, and the proposed location, and I have no objections
(circle one)
to the proposal. I understand that if the development is a pier, it must be
set back a minimum distance of 15 feet from my area of riparian access unless
waived by me. I do/ ono wish to waive that setback requirement.
(circ a one)
Description and/or drawing of proposed development: ( to be filled in by
individual proposing development.)
Perform maintenance dredging at dock to achieve same depth as channel.
(Original must be retained in the Inspection Department)
Signatu
Name (P I
ase Print)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to J%A o E
's property located at - L\po L 1►jL Ld►J E,
loot, block, road, etc.)
on 'ri-RPO-� C,4NOOr-L in G 6EN TA. L. N.C.
(body of water) (town and/or county)
The proposal has been described to me.as shown below: the development, a
" pier/ bulkhead/ structure, and the proposed location, and I have no objections
(circle one)
r .to the proposal. I understand that if the development is a pier, it must be
z
set back a minimum distance of 15 feet from my area of riparian access unless
waived by me. I do/ o no wish to waive that setback requirement.
>, (circ a one)
-1 •`...;Description and/or drawing of proposed development: ( to be filled in by
individual proposing development.)
y
h
,J
1
w� Perform maintenance dredging at dock to achieve same depth as channel.
(Original must be retained in the Inspection Department)
Signature
r3 'd Z� L
Name (Please Print)

"" ARINER
REALTY, INC.
Post Office Box 750 • Oriental, North Carolina 28571
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