27964_WEIGARD, KAREN_20010426

CAMA and DREDGE AND FILL �7���
� G E N E R A L
P E R M I T LA) �t4
as authorized by the State of North Carolina 1'+47&-,A
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 I; : 1C,tF,
City ,,1,,10,E _p
Project Location (County, State Road, Water Body, etc.) /
Type of Project Activity y ='i+ F f
PROJECT DESCRIPTION SKETCH AC t � - r ­', r'T
Pier (dock) Length
Groin Length
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
State
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 2a510
issuing date
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(SCALE: f`. NE )
applicant's signature
permit officer's signature
expiration date
attachments
application fee

KAREN -A.-WEIGAND--
NCDL-8356806;-P-H=252=223m6j

All,} ACEIN't RLPARLAIN YRUPEKI'Y OWNER STM ENLE N I.
(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
I herebycertify that I own property adjacent to"z 's
�+ P P y J L"""/_____
(Name of Property Owner)
Property located at ton LL
�- (Lot, Block, Road, etc.)
on in , N. C.
( aterbody) (Tow and/or County)
He has described to me, as s1^own below, the development he is proposing at tha: location,
and, I have no objections to his proposal. I understand that a pi --.,'mooring
pilings/boad ift/boathouse must be se: back a minimum distance of fifteen feet (I5') from my area
of riparian access unless waived by me.
I do not wish to waive the setback requirement.
I da wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOP.NrENT:
(To be filled in by individual proposing development)
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Print or Type Name
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Telephone Number
Date:/Z /© (

AD JAl EIN'1' RWA11LN N YKOFEK1'Y 0 WNER SJ'A1 hi-YLb N 1
(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to m �-t/ Crir� -s
(Name of PropertyOwner)
property located at / /� ���,
(Lot, Block, Road, etc.)
on , in - , N. C.
( aterbody) (To n and%or County)
He has described to me, as shlown 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 se: back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
I do not wish to waiv.- the setback requirement.
I da wish to waive ti:at setback requirement.
DESCRIPTION AND/OR DRAWU G OF PROPOSED DEVELOPME.N-T:
(To be filled in by individual proposing development)
Si
Print or ype Name
Telephone Number
Date: 7 '-� � — C)

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