27962_SULLIVAN, DENNIS AND CHARLOTTE_20010508

CAMA and DREDGE AND FILL 021962-(
G E N E R A LP E R M I T
as authorized by the State of North Carolina ,_, +r �! ,.t t;,5IG,A
Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC
Applicant Name a ( 6,c1, (; P Phone Number 1 « • 7b,7 • _711
Address r t rase I,41.
City
Project Location (County, State Road, Water Body, etc.)
State
Type of Project Activity , x 1,
PROJECT DESCRIPTION SKETCH `t f , V , _,.T
Pier (dock) Length wq) ttl -4 61
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.
Zip
(SCALE: /4) t r- r )
applicant's signature
permit officer's signature
issuing date expiration date
attachments
application fee

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01/30/1994 00: 09 91951G1050 H.C. COPJTP.A1,'TIPJG CU. F'AGE 02'
ADJACFNT RIPARIAN PROPER'IT OWNER STATR1YE NT
(MiZ A PIERIMOORING PHJNGSIBOAYU.FTIBOATAOUSE)
I hereby certify that I own property a4jacent to Daw,is a•d (,A A C Su11•'14h. 's
(Name of Property Omer)
property located at ,
(lot, Block, Road, etc-,)
on $ 0 6v�So�N n , in PN ie K.40-u ,Mo4ZES , 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/boatlift/boadiouse 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 DEVEWPNEENT:
(To be filled in by individual proposing development)
I L Ile 13 3.
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Signa/ id
Print or Type Name
Telephone
eeNuNumber
Date:

01/30/1994 00:09 9195181050 H.1,.1-'0JTRAG'TIHG CO. PAGE 02
ADJACENT RIPARIAN PROPERTY OWNERS.STATMENT
(FOR A PIE•RIMOORING PILINGSIBOATLIFI'/BOATHOUSE)
I hereby certify that 1 own property adjacent to Davwitr awl � - S u� `� `�'' 's
(Name of Property Owner)
property located at -41Z ohM,l,EArr WN415
(Lot, Block, Road, etc.)
on Sor
zvS soil►,tn , in 1�NE Kau«. 511o�t3 , 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/boatb tlboathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
I d9 Wt wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be J?1kd in by individual proposing development)
t4F6V- 1�_ lal.a J
so 1
m
/�7 nil�i�n�po+K
Sig tore r�
, J ,t r rrl
Prifid or Type Name
a5 a- a40-
Telephone Number
Date: