27091_OLIVER, JACK_20010103

CAMA and DREDGE AND FILL
gi
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
Applicant Name t I I Phone Number
Address
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION SKETCH
Pier (dock) Length
Groin Length
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
State
Zip
i=`i (SCALE: 1VC,-e )
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.
//`` c '�
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
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
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

MULTI -TONE AREA OF THE
PAY TO THE
ORDER OF DENR
ENT CHANGES COLOR GRADUALLY AND EVENLY FROM DARK TO LIGHT WITH DARKER
ISSUING BRANCH6102301 MHC Main
DATEJan. 03,2001
BOTH
P AND BOTTOM
70990014
25-15541440
** 100. 00**
1�8-- , - -- - 88&T100,)nxS00o-i►1 DOLLARS
&1
ISSUEDBY:
FRAVCI S EXPRESS c:Uhlf'ANY. INl'. f RAWER: BR T
DRAWEE IIUNIIN. <I I tLll I NA • vupn;(i tl AUII- OSI E
Turner Marine Construction
MEMO/PURCHASER
11/709900 1410 1:0440 L55431:016001 045109 211'
■ fill'; DOCUMENT HAS AN AR 1111( IAl I\ A I FKk IARK PLAIN 11:1) ON 1111; HACK. 111E IRON 1 OF 11 IE DOCUMENT I IAS A MICRO PRINT SIGNATURE LINK ANI I lu )Rfnl R. ABSENCE OF THESE. FEATURES WILL INDICATE A COPY. ■

ADJACENT RIPARIAN PROPERTY 0VVNER SI'ATT2 ENI'
(FOR A PIERIUNCOVER.ED BOAT I_IF7)
I hereby certify that I own property adjacent to L)_neK _An�1_(f �2 _ 's
(Name of Property Owner)
proper'y located at— I I -I_-IT --- 5=----------
(L,nt, Block, Road, etc.)
on m rYlPf u, L 4TIc--- v 14
(Waterbody) L-La3raandj'or Cnuntv)
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 pieriuncovered boat lift
must be set back a minimum distant- of fift"n fe"t (15') from my area of riparian access unless
waived by m .
1 do not wish to waive the serb«ck requirement.
I do wish to waive that setback requirnment.
DESCR=ON A-N-D/OR DRAWD;G OF PROPOSED DEVF1_()PN ENT:
'5�V (To be filled by i�� ual proposing development)
O�
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---------------r--------- ---------------� --- ----- - -------------------- ---- -- - ----P- -L -- -
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LP �
Print or 1-v1`' N1me
"Telephone Numh�-r
Date:

ADJACENT RIPARIAN PROPERTY OWNER S'I'AI-EMENT
(FOR A PIERIUNCOVERED BOAT LIFT)
I hereby certify that i own property adjacent to � -C L•1,CI_6 Z _ 's
(Name of Property Owner)—
property located at—)
- ��--- - - - ---- -- - -- - -- -- --- - -
(Lot, Block, Road, etc.) ;�,, ' /
on —' 1 I � C QE D in C- -- C_4' - - ---- -- N. C .
(W aterbody) iYow nd,'or County)
He ha-s 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/Iincovered boat lift
must be set back a minimum distance of fifteen fit (15') from my aroma of riparian access unless
waived by me.
I do not wish to waive the se�bac.k requirement.
I do wish to waive that setback requirement.
5s9
DESCRIPTION A.ti-1)/OR DRAwZyG OF PROPOSED DEVFI.0PNf _N_T:
(To be filled in by individual proposing developmernt)
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13
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____________________________________________LA_-_-..____-____-__-__________---__ - _--_-__-______-----
Q I
Pnrtt or iy N1mP
Telephone Niimher
Date:

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