23163_MCCLENNY, ANDY_20010711

CAMA and DREDGE AND FILL
G E N E R A L
PERMIT
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 �2coo t2Dy
Applicant Name Phone Number
Address
City State zip
Project Location (County, State Road, Water Body, etc.) >
Type of Project Activity
PROJECT DESCRIPTION SKETCH
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Pier (dock) Length 7 �'
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Length
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number
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max. distance offshore
Basin, channel dimensions
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cubic yards
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Boat ramp dimensions
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This permit is subject to compliance with this application, site drawing
and attached general and specific conditions. Any violation of these terms
applicant's signature
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-
permit officer's signature
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
issuing date expiration date
land use plan and all local ordinances, and 2) a written statement has
been obtained from adjacent riparian landowners certifying that they
�2coo, tto;,
have no objections to the proposed work.
attachments
In issuing this permit the State of North Carolina certifies that this project
is consistent with the North Carolina Coastal Management Program.
application fee

18b6

CHADWICK CONSTRUCTION CO. INC.
LIC 2294863 2916140 5423
PH. 252-728-4504
327 STEAMSHIP LN. Date 1 6 t 66 I12/ 0230202
NEWPORT, NC 28570
Pay to the
Orderof— $ az-)t>.
/ u)cr /y cj I —Dollars
BUT
BRANCH BANKING AND TRUST COMPANY
MOREHEAD CITY, NORTH CAROLINA
For 6P''2,P/4 I�
Coe eA/ y
1:0531011211:511009362611' 5423
a can.p<nmr.uan GUARDIAN SAFETY BLUE OEBL

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/1KOORING PILINGSBOATLIFTBO.4THOUSE)
I hereby certify that I own property adjacent to4f� cam_L1 ,6JN �s
(Name df Property Owner)
property located at 67S�irr2 �, ,U % I-)• 1 4ukMAw1 /Rt cl ,
(Lot, Block, Road, etc.)
on S ��� , in ,NC.
(Waterbody) (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/mooring
pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (15")
from my area o 'parian access unless waived by me.
I do not wish to waive the 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)
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Print or Type Name
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Telephone Number
Date: _
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5

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOA TLIFTIBOA THOUSE)
I hereby certify that I own property adjacent to 4. e L F " ,s
property located at
(Name of Property Owner)
�.. 0 i _� ? �r SHr"�2 �
� p� (Lot, Block, Road, etc.)
on ALA rf S 4 e 6 , in r e,..
(Waterbody) ,. ''� �,?' ,NC.
(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 (1511)
from my area of riparian access unless waived by me.
--74— I do not wish to waive the 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)
D i.. r,
13 (3,
10
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s 4 PP'?vA'a"o,
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Print r Type Name
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Telephone Number
Date:

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