28892_STEPONKOS, PETER_20010810

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CAMA and DREDGE AND FILL � ����_ �
,..` G E N E R A L �y,
PERM I T r.
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 Phone Number =
Address
City
Project Location (County, State Road, Water Body, etc.)_
State zip
Type of Project Activity
,Y_33L L1tiw1t.� c�l�ftiiL 1. ()/� rl- ::.75ki ti :r'-t
PROJECT DESCRIPTION SKETCH
Pier (dock) Length
_
->u.,
. `�
��, (SCALE:
gitlic
)
-
r
d
j
Groin Length
number
Bulkhead Length
max. distance offshore
L i-
,l i
7
�- ��
-
��
_
k•
w
1
Basin, channel dimensions
i
N
fJCt
t
cubic yards ,"
Boat ramp dimensions
-
Other ._
t
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--twit—
t' > i
This permit is subject to compliance with this application, site drAwir
g
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-
! to Nc�
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

S e r rr r l l y— r n Ir ra n e e ri -_t. . S e_e_b ra c k -f ur A e i
JASON R. HILL NCDL 8929001 1206
DBA DECKS N' DOCKS, 252 637-1595
138 FOREST GLENN DR
POLLOC KS VILLE, NC 28573 _
PAY /�
DATE ` 66-1101903
TO THE
ORDER OF /v
o $ Q 'a
�:O
- DOLLARS°"M
BB
BRANCH BANKING A &T UST COMPANY
NEW BERN, NORTH CAROLINA 7
FOR
11400 1 20 6110 i• ----
.05310112i�.5219672057n'

A JJAU; N*1' 1UFARJAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent torS �r 4
(Name of Property Owner)
property located at
(Lot, Block, Road, etc.)
on _NcUS �rVt , in C aA0�- o.,,J
N.C.
(Waterbody) (Town and/or CouAty)
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 (15') from my area
of riparian 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 DEVELOPNMN-T:
(To be filled in by individual proposing development)
- ----- ----`-------------------
P t or Type Name
Telephone Number
Date: R- /p - 4�) /

ALJAI:L' N 1 IUFA UAIV YKUYEKIT OWNER STATEMENT
(FOR A PIERIMOORING PILINGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to 1" le � �� � � ��,, �{ �, f 's
(Name of Property Owner)
property located at
(Lot, Block, Road, etc.) on /VClu56 lei c c e in L r' At /`� /
uC. a v!�-lT
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
pilings/boadift/boathouse must be set 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 do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
Signature
Print or Type Name
2-
Telephone Number
Date: X"�q z