27891_TOSTO, ELZIE S_20010406

Applicant Name
Address
, �(
CAMA and DREDGE AND FILL j�
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
Phone Number 252 -Ili 3't 5o
City State zip
Project Location (County, State Road, Water Body, etc.) ' ! Srr,,�,
Type of Project Activity
r,s
PROJECT DESCRIPTION SKETCH
Pier (dock) Length Nr..l,
Groin Length {
number i5.r
Bulkhead Length r
max. distance offshore
11 i
-.t t
it,
------
I r i
t.
rn
t
t.
-1'" �
a
_ `" ._.. ..'t,
l ....,.., >>
Ir
< !•Tr
r 41
41
cA
h
^
(SCALE:
t 1. t
r,
j F
.1 r.
4�
ri; ,'M
f r H, a
"
a
1rl7w
Basin, channel dimensions
cubic yards
Boat ramp dimensions
M�
T77
.o
Other
C
r�
)'
t
i CAD
r
k,
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
r
�l
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-
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
- k
is consistent with the North Carolina Coastal Management Program.
application fee

Mr. or Mrs. Elve Tosto �R j7 0 66-30/531 9705
NCDL 1393233
South River 728-3950
Beaufort, NC 2851616 DATE j4j
PAY
AY TO n /n
- e or. ty ro 1 riot signau -e line. gra d _�.. _
DOLlALS�
took l--n-linci -
aw-s hank 1 go on back. 11 not present. do not (ash.
FIRST CITIZENS
BANKFirst-Citizens Bank 3 Trust Company
eufort, N.C. 2851
FOR —4e_ -Wt>r
1:0 S 3 100 3001:0000 S 7 6 20 48 09
?OS

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
4 - (FOR A PIERIMOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to "�� icy ��, i S i is
(Name of Property Owner)
property located at 4 el S -5e, IPW
(Lot, Block, Road, etc.)
<<,
on Sv.� /�d�-�-- , in5r�����z�--/�'�,,c,4.:,�1��, T���.`�'� ��`��'� �'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/boatlioathouse must be set back a minimum distance of fifteen...feet-(15') from my area
of riparian access u s waived by me.
I do not wish to
... Tie setback requirement.
--I d-Q wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
.z 14541E A10 f-1�3_:.i w Qx)S GviF11 i/�c 4d"nW6,
rr
Sign
for NC Div. of Marh-ie
Print or Type Name
Telephone Number
Date:

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to/��,_ �`L_l ,;�ry is
(Name of Property Owner)
property located at )—gy & ,
/� (Lot, Block, Road, etc.) �� 7-
on J-g,/ /-1 f511/7; iL , in yn e,r) COd N. C.
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is nroposing at that location,
and, I have no-.. objections to his proposal. I,,ersta.nd that a pier/mooring
pilings/boatliftlboathouse-'must be set back a minimum- distance of fifteen feet (15') from my area
of riparian access unless waived ty-me. ,_.
I do not wish to wai-ve the setback rnent.
'I d-Q wish to waive that setback reauirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOP-MENT:
(To be filled in by individual proposing development)
914vli:�- ®vL9 it)l54 F14C T DO /OS1`Ii
--------------------------------------------------
Signature
Print or Type Name
.�Z 7 2-L 0/==�
Telephone Number
3 Date:

C-: D.
tau
�01
---

II
9.8 ac.
i
215
13.2 ac.
1 �
�Y
(5)
3�
14
3 ac.
pzz, 15
2.3 ac.
16
3.1 ac-
34
lac.
30
2.7 Ac.
(2a)
17
3.1 Ac.
V33 18
Vac
5.3 3c.
(la)
(4 a )
A AC.