27972_UZZELL, PAUL F_20010502

CAMA and DREDGE AND FILL
G E N E R A L �p r^� �d2 -�
PERMIT dr
as authorized by the State of North Carolina AP<A _4I12 i'V,5
Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC
Applicant Name
Address
City ' 1 1.
Phone Number i x.! 7�, 6.Z a'/'/
State `Jf Zip 53 `
Project Location (County, State Road, Water Body, etc.) ff
11 till
Type of Project Activity t, r
PROJECT DESCRIPTION SKETCH t'l < - 1 V1,
Pier (dock) Length dz ' F dt 14 i [7, ..lt.....
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.
#/cr c, v
issuing date
(SCALE: Al(,- F
applicant's signature
permit officer's signature
r- 7 r f
expiration date
C?F1
attachments
application fee

PAUL E. UZZELL / 485
FARM ACCT "`
5194 US HWY 70 E. O 66-1171201
il2ot
GOLDSBORO, NC 27534-7842
PH. 919-77"W9
GLEN $
BB&T
BRANCH BANKING AND TRUST COMPANY
OLDSBO%%�� NORTH, AROLINA / G
&InO �iPr ,I►�P i'YYl Jy. Qa..ti. — - -- y
i:053LOLL2Li:LL2LL52904ii- 0485

ADJACENT RIPARIAN PROPERTY OWNER STATFAIENT
(FOR A PIERIUNCOVERED BOAT LIFE
I hereby c,.r'ify that I own property adjacent to
property located at
on
(Waterbody)
(Lot, Block, Road, etc.)
. in
(:`lame of Property Owner)
(Town andlor County)
I
N.C.
He has described to me, as shown below, the development he is proposing at that
location, arid, I have no objections to his proposal. I understand that a pier/uncovered boat Lift
must be set back a minimum distance of preen feet (l5') from my area of riparian access unless
waived by me.
I do not wish to waive the sef.back requirement.
I do wish to waive that setbac'c requirement.
----------------------------------------------- -------------------------------------------------
DESCRIPTION :A—r-D/OR DR 'WLNG OF PROPOSED DEVELOP?NLENT:
(To be filled in by individual proposing development)
L,cZze//
----------------
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50 -
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.Q
Signature
re yle(wco I 11G
Print or Type Name
-7aC-- of&scf
Telephone Number
Date: Lo

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to �Cr,�cC, e- [J-" 's
(Name of Property Owner)
property located at
(Lot, Block, Road, eta.)
on (\1e'C�;r,(_ «h t 1 x 2� , in I� �� �t acLZ , 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
pd ngs/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 dQ wish to waive that setback r--Nuirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by indiv' ual proposievelopment)
Qd® •F, I
I
_ I �
A rare ►a� A prDX 2a'
Signature
Print or Type ame
Telephone Number
Date:

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