27542_RIVERS, JOHN B_20010212

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CAMA and DREDGE AND FILL
G E N E R A L ` 7542
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 �� t i
Applicant Name Phone Number
Address'
City P ic• u 4. State 1 zip
Project Location (County, State Road, Water Body, etc.) �' ) (�, �) r ' t' i� rh , f , F /1
Type of Project Activity v r ,l tau i i ? ` a fm i � . J r r ))
r. �„y i t rNt li�`Q' 1' 6,•, �'.ir_% ,?'�"NR'H!" �' � r� rT
PROJECT DESCRIPTION SKETCH f. �� fir. F''' PT— (SCALE: Ail, �*,e )
Pier (dock) Length 1 w iu J 1' �,, • : f1 ,
i
tov
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;
Jr to
,
I ,4,,-
Groin Length
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
1
C4
P
Other
C 1 r'f
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r;
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0
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.
x
applicant's signature
permit officer's signature
issuing date
expiration date
attachments
Woe P1
application fee

JOHN BENTON RIVERS GA 004873333 2205
LAVERNE C RIVERS GA 065192817
508 KINSTON AVE PH 252-726-2942 66-152/531
ATLANTIC BEACH, NC 28512 DATE — / �41
'� s
ORDER OFE�� 0
WA(HOVU
Wac6ovia Bank, N.A.
CtiwLnvitie, NC 27834
FOR 6Pl0-,) 26VL
1:053LOLS291: 3609 323E IIl 2205
---
® HARI ANTI

ADJACENT RIPARIAN PROPERTY O_.•,:.JER STATEMENT
I hereby certify that I own property adjacent to
- 2g��
�Qy,LJ T�l _ 12l !%�2� s property
located at 5-09 6z:f ( k/S'-a A' 4 Jr
(Lot, Block, Road, etc.
, on
'RogUi ';?0U9'0 �S✓c!Z N . C .
A in
(Water Body) (Town and/or County)
He has described to me as indicated below the development
he is proposing at that location and ]' have no objections
to his proposal. I understand that a pier, pilings and
dredging must be set back a minumum d:.stance of fifteen feet
(15') from my area of riparian access unless waived by me.
I do not wish to waive that s::'r.'oack requirement.
I do wish to waive that setback requirement.
Description and/or drawing of proposed dc�velo mp ent:
(To be filled in by individual proposing development.)
5'E/a�,c/�t-�- ��fog,�C�'fs�t�.vT tJ�t'/-1 cJlc.�c�L ���c�J�c.L ��./J✓
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30 �U yns To i AL .
Date
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Pr. nt Name
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u

ADJACENT RIPARIAN PROPERTY 0:::DER STATEMENT
I hereby certify that I own proper y adjacent to
�py� `rl _ !2(tJ�, s property
located at 5-oe �� �STa `fi `,rr .-. , on
(Lot, Block, Road, etc.)
'Rvu't S'ouge Z
N.C.
in /�`rL��%� ' ✓��/��/�
(Water Body) (Town ai�J/or County)
He has described to me as indicate(: below the development
he is proposing at that location and have no objections
to his proposal. 1 understand that a >>ier, pilings and
dredging must be set back a minumum distance of: fifteen feet
(15') from my area of riparian access unless waived by me.
_ I do not wish to waive that S-t'oack requirement.
I do wish to waive that setba=-k requirement.
D_e_scri tp ion and/or drawing of proposed develo mp ent:
(To be filled in by individual proposing development.)
9CI, G, JA.GL- t2C-�o C�'is1��/T cJ�ti� Ot4-' C .t6A&JAcL 1 a-k'-2
A(G� F ✓j. 7�
61y,_;S 1 X�
30 ylVS To'1-A L- .
- .. 99
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Date
c� e k<-'
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Si .!nature
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Pr _ nt�N)am�e�J
Phc:ne Numbe