27931_WIKANDER, ART_20010605

Applicant Name
Address
City
CAMA and DREDGE AND FILL Your proiect is subject to the NC Division
of Water Quality Neuse River Buffer Rules i t, 9 31
GE N E R A L due to its location within the Neuse River
Basin. Please Contact Deborah Sawyer
P E R M I T at 25awyer6481 or
deborah.sawyer @ ncmail.net
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
State
Phone Number : 7'
Zip
Project Location (County, State Road, Water Body, etc.) __x, _U , ;t t- L
Type of Project Activity
r r-C
PROJECT DESCRIPTION SKETCH
Pier (dock) Length
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.
t
issuing date
(SCALE:
applicant's signature
permit officer's signature
expiration date
L, ! Attachments
application fee

Date_
19�_No I
Received Of _ l ll� ): 1. I',
Address
For
E
77"-
N10
8L 820rarbon

r� 1 1
(FOR A PIERIMOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to��� �, <;�'s
(Name of Property Owner)
property located at r
(Lot; Block, Road, etc
on ��f! l/ �%����( in Z%%/ , 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/boatlift/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 do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
Signature
4a1gS P Ugh LE ARc=,s"
Print or Type Name
Telephone umber
Date:

T hereby certify that I own property adjacent to t^ �/i lr .;1�_,6?- Is
(Name of Proo/perty Owner)
Property located at /,Gx
(Lot, Block, Road, a .)
on ffl- in �L-s� yG�' 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/boatliftlboathouse 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 requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
14a'-si
Telephone Number w-
Date: _