13893_ROEBUCK, FRANK & LINDA_19941209

CAMA AND DREDGE AND FILLr'a w
_Y GENERAL
4. .. _
�0
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC
Applicant Name Jg h'i:'.v use ray( r::7s. r,�
Phone Number :
Address
City ji `: State Zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT•
Pier ..
■ ■■■r�■■■■
r
poilGroin
length
■■■■■■■■r;�■■
NIZZWOOK
MIA,
number
length
M�■
■■■■■■MMEM■■Bulkhead
■■r■
Lim
J1VJ/LI1i
U'I/iL/.VJI�
��/G!�i'''✓�l
��i�.�■
max. distance offshore
•
ON'ALi„"
%Z Zs
■■■■■■■■ER
I
■N■■
Basin channel dimensions
�■il■i■i■■■
■■■ice:■■■
UVIT'"Zo
Ems
Boat ramp.
■
■�
■■■■■■■■�■
M■■■■■C
Other
■
■■
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. An
the
violation of these terms may subject permittee to a fine,
applicant's signature
imprisonment or civil action; and may cause the permit to be-
come null and void.
�Y
This permit must be on the project site and accessible to the
permit officer's signature
permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that 1) this pro-
ject is consistent with the local land use plan and all local
issuing date expiration date
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 is consistent with the North Carolina Coastal
application fee
Management Program.

EROSION CONTROL SPECIALISTS 5/91 1409
ATLANTIC BEACH CAUSEWAY
P O BOX 3355 919-726-2191 66-301531
ATLANTIC BEACH, NC 28512
PAY TOTHE � I s
ORDER OF �.
DOLLARS V
n4s� CITIZENS "
BANKNK HubQc W Bone ! Imsl Company /
ijru � i� Mpntic 8eacn, NC 1E512 /
y
FOR
J:0 5 3 100 3001. 13 12 148 S 3 SIIm L409

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
' s property
located at _?fro UA(<L-6,4 P- 106 on
(Lot, Block, Road, etc.)
509UC Save -- in _ or6- ��� Sit-ID/fFS , N.C.
(Water Body) (Town and/or County)
He has described to me as indicated below the development
he is proposing at that location and I have no objections
to his proposal. I understand that a pier, pilings and
dredging must be set back a minumum distance of fifteen feet
(15') from my area of riparian access unless waived by me.
I do not wish to waive that setback requirement.
I do wish to waive that setback requirement.
1-1
Description and/or drawing of proposed development:
(To be filled in by individual proposing development.)
014q L QC-AI.JALL— `T—v
IPE1-rg4wq,>O AIJO/Op �rit/�'rC.=:.i1��0 •A4.FE^-f'�.JS
S'FA[,�A �-L ACOL)rJf> '(7�'0%•C''ry i3UU:J•lJ.��' 1 E1' �
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MCIaLI�I
DEC
is nature
Print Name
Date
Phone Number

�V/I - 979 -n3oa

E-�STE�'N OFFSET FTG. ID:9192475449 NOV 22'94 15:45 N0.001 F.0
ADJACENT RI PAftIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
-i!�h! t',...,_ nD C �yeis property
located at 7 _� ��gi�!LG� r +J(Eun
(Lot, Block, Road, etc.)
' ooyF 5'CaUYJGa in (r?AfC
(Water Body) (Town and/or Courity)
He has described to me as indicated below the deivelopment
Ile iti pr-oposing at that location and I have rio objecti.onn
to his proposal. I understand that a p�Or-, pilings and
dredging must be set back a minumum distance of fifteen feet
(151) from my area of riparian access unless waived by toe.
Z der not wish to waive that setback requiremenL-
l/ I do wish to waive that setback requirement.
Description _and/or drawin of ro >osed development;:
('1'v t)e filled in by individual F>roposing development.)
i nT II
QEac.JA C-U ( tire'( 4"A r 1 o tit �� R��lAc v� 'DDCY II
m'EA) it A4 t tiffF. I I l
,pC 5-r2vti'. D-
y4.tLuA L� L�CDI)IJS� (7ROf4.<-'Ty C�UU•'J�.� _ �---
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To ��' %SAS; 4c1�✓� AU9. S-(v 6)(A. ��4u -,
y I 4, t r t I,t/
lS /X Ge oar o K of riC r uc 4�'n
I 4J'19a-,v 5
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aor.gvcl- r�coroG•�"�y
Date
Signature
Print Name
Phone Number
I
Tn EC 0,8 1994