28833_MCMILLAN, BENTON L JR_20010809

Applicant Name
Address
CAMA and DREDGE AND FILL,a�
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
Phone Number r
City State N< zip
Project Location (County, State Road, Water Body, etc.) (, r j:, + s ?s Ai F,,ur
Type of Project Activity rbt r�
PROJECT DESCRIPTION SKETCH -. , W i
Pier (dock) Length 7,7i
Groin Length
number
Bulkhead Length
max, distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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.
(SCALE: tJc ".
icant's signature
permit officer's signature
issuing date expiration date
attachments
application fee

BENTON L. McMILLAN, JR. 58071_
535 NEPTUNE DR.
SWANSBORO,NC 28584 Dal 661iUlo
Paytothe ✓
Orderof s e 00
Dollars
BUT !WVAN?AGH
1 m �
BRANCH BANK G AND COMPANY CAR '
WILSONO CAROLINA
For �.i/f�1✓1/ �P�
1:053&0LL211:1013033BL,21i' 5807

ADJACENT RIPARUN PROPERTY OWNER STATENIENT
(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to �,� ra ;: �, 7 ��,�e 4 / ' 's
(Name of Property Owner)
Property located at
(Lot, Block, Road, etc.)
on Dr F"oP r�fK , in C,� (n/'.'�fo� -� , 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
pdin gs/boadift/boathouse must be se: 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 dQ wish to waive tr.at setback re uirement.
DESCRIPTION AND/OR DRAWr G OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
Signature
Print or Type Name
39�az��
Telephone Number
Date:��D/

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOA TLIFTIBOA THOUSE)
I hereby certify that I own property adjacent to
(Name of Property Owner)
Property located at �,/�',-��,. -) ,
(Lot, Block, Road, etc.)
on �iC f ,� , in ��� �' �.Q �' f 3- , N. C .
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is proposing a_ that location,
and, I have no objections to his proposal. I understand that a pier/mooring
pilings/boatlift/boathouse must be se: back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
I do not wish to wai,.-e the setback requirement.
I dQ wish to waive t .at setback recuirement.
DESCRIPTION AND/OR DRAWLNG OF PROPOSED DEVELOPNrE.N-T:
(To be filled in by individual proposing development)
azure
Print or Type Name
Telephone Number
Date: