28809_WIGGINS, THOMAS_20010821

Applicant Name
Address
City
CAMA and DREDGE AND FILL
G E N E R A Leo
�`
PERM I T
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
State i'ic zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION SKETCH
(SCALE:
)
Pier (dock) Length
Groin Length
number
Y
1,
)
Bulkhead Length
max. distance offshore ,,
?• • {
'
I
^
Basin, channel dimensions
cubic
�
1
yards
Boat ramp dimensions
a
Other �(3k13)
a'
I
i
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,
issuing date
applicant's signature
permit officer's signature
expiration date
attachments
application fee

DON OXENDINE
HELEN OXENDINE "a 1301 0854
l '(DBA) DON'S LAWN SERVICE PH 252-24 - 5114 KERSHAW RD ` O� 66-152/531 CLS
5 ORIENTAL, NC 28571
Pay
Order C
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tj Dollars
WACWHO l �L1 �S� n�..�MV: � �y G
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0. Wachovla BaN A\
IlaylrunlNC 28515 �y`Y.r , ' 111W
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-�:OS310152Ili: 0787 2L3965u
0854�

post-lt,
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FVR A PIERIA100RING PILINGS/B0ATLIFT1H0 E) , ti
l
'i
I hereby certify that I own property adjacent to % d f t✓ S r
iWame of Property owner) r
property located at v C '
(Lot, Block, Road, etc.)
in
on (Waieody) (Torn andtor County)
He has described to me, as shown below, the development he is proposing at 1.
location, and, I have no objections to his proposal. I understand that a pierlmoorin
pihngslboaWftft oath+ouse must be set back a mWmum disU= of fiftOen fen (151 from my ar
of riparian access tmless waived by mc.
Ido I wish to vraive ck requirement.
I d2 wish ve that setback rrquiremen .
DESCREMON AND/OR DRA1MG OF PROPOSED DENTLOP-%fEN'r:
(To be fitted is in& dual pr ;os ng development) r
0 0
J a s
f8X transmittal memo 7611 01 pages
------ - ----- -----------------
Si ature
Print or Type Name �
�l 7 • Y3 �'' 3 y-6 �-•-- •`
telephone Nu)pbcr
- Date:
01
IiL,.d t7ZL26t22S2I;01 tt76TT6VJ-T8 013IADUM H3N3IM:W0NA a":t@ IBl7?-6-qnu

ADJACENT RIPARIAN PROPERTY OWNER STATE ENT
(FOR A PIERIA100RING PILINGSIBOATUMBOATHOUSE)
�S
ti
C�
-�
I hereby certify that I own property adjacent to / � °'n 4 -, ,s = h s 's
(Name of Property Owner)
property located at Gil ,
(Lot, Block, Road, etc.)
on . 2 _,in N.C.
(1N'aterbody) (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/boathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
I
requirement.
I do wis waive that setback requirement.
DESCRIPTION AINT/OR DRAANTNG OF PROPOSED DEVELOPMENT:
(To be filled in b individual proposing development)
c-
aignalure
Print or Type Name
a5a Ns' 7,50
Telephone Number
Date: t 3