27989_THOMPSON, JOHN JR_20010511

CAMA and DREDGE AND FILL
� 27989 -
G E N E K A L (,
P E R M I T -7
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 State
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
zip
PROJECT DESCRIPTION SKETCH
(SCALE:^�"
)
Pier (dock) Length
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Groin Length
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�m
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y'
number
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Bulkhead Length
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max. distance offshore
Basin, channel dimensions
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2
.1
�1+
cubic yards
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11
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ramp dimensions
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,•��\Boat
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other
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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.
i
T
applicant's signature
permit officer's signature
issuing date expiration date
attachments
application fee
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CARTERET BUILDERS 1330
133 OLD CAUSEWAY RD
ATLANTIC BEACH, NC 28512 y -2 ter/ 66-152/531
V/ un� E
PAy'O
ORDER E Y �`�
ORDER OF ���/// / V /�
TACHOVIA UOLLnItS Bt e� k :
Wachovia Baaht N.A.
ea Morehd City, NC 2855557/f� QC�
FOR 2/ C ..�TTI-U e
1:05310L5291: 5468 004966110 L330

ADJACENT RIPARIAN PROPERTY OWNER STATFAIENT
(FOR A PIERIUiVCOVERED BOAT LIFT)
I hereby certify that I own property adjacent to _� ��/�✓L 's
(. ame of Property Owner)
prcperty located at
(Lot, Block, Road, etc.)
(Waterbodv) (Town and/or County)
He has described to me, as shown below, the deve!opment he is proposing at that
location, and, I have no obj,!---tions to his proevsal. I understand that a pier/uncovered boat lift
must be set back a minimum distance of fifteen fit (15') from my area of riparian ac: ess unless
waived by me.
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
---------------------------------------------------------------------------------------------------------------------
DESCRLPTTON A..YD1OR DRAWZDiG OF PROPOSED DEVELOP -ME T:
(To be gUed in by indivfdual proposing development)
r� 0 _A/Z
10c-74
Signature
—
Print or Tye Name
_ / �/q// _[ 3/-/�3�
Telephone Number ,
Date: 1 b ' 2 2 (;>6

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P
i ADJACFNT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIUrVCOVERED BOAT LIFT) I hereby certify that I own property adjacent to _(/t/-�L '6—blfw 's
�% (Marne of Property Owner)
l !Y% �' -
proper�y located at./Cyt �t /� xG¢G _�� _� LL ��
(Lot, Block, Road, etc.)
onin
/C�L�t,G
(Waterbodv) (Town and/or Countv)
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/uncovered boat lift
must be set back a minimum distance of Fifteen fe--t (I5') from my area of riparian ac:.ess unless
waived by me.
1 do not wish to waive the Se�back requirement.
I do wish to waive that setback requirement.
----------------------------------------------------------------------------- ----------------------------------------
DESCRLPTION A-r-D/OR DRA1NTNi(r OF PROPOSED DEVELOPMENT:
(To be filled in by indivfdual proposing development)
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�j,e, -
Signature
Print or Type Name
Telephone Number
w
Date:

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