14715_TAIT, RAY_19950526

CAMA AND DREDGE AND FILL
GENERAL
PERMIT
471.5--tR...
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 G'!ff• rs ,
Applicant Name
Address
City
Project Location (County, State Road, Water Body, etc.)
Phone Number /2- 22 - '9q(-<.-
StateM° zip
PROJECT DESCRIPTION
Pier (dock) length
SKETCH
(SCALE:
S!t
'r yo
`
Groin length
♦ ty.. r.
I
,P
number
Bulkhead length
TI
c
l -
(t
46
��—.1 -� I I
'
max. distance offshore —
Basin, c4,apnel'dimensions
i
cubic yards—�'✓���
iti
Boat ramp dimensions
U
Other
-
cw
_• i f
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 be-
come null and void.
This permit must be on the project site and accessible to the
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
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
objections to the proposed work.
J�
applicant's signature
r"
permit officer's signature
J issuing date / expiration date
attachments . 6911, 17 • d a 0c,
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
application fee I .60�_Al f 14 (11 * e97 M

r
RAYMOND L. FAIT--_—
MARY G. TAIT
919-726-9466
165 LOBLOLLY DR 68 162/b31 CC
PINE KNOLL SHORES, NC 28512 0798
Pay ToTlte _"t'g�C
19g�-
Order Of n �) 1�
cam.✓ lv�--
_tars
Wachovia Bank of No
rth
Pine K11011 Shores, NC Carolina, N.A.
28557
Memo
1:053i01529. 7iS=�
5469 1139? u�
It

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own roperty adjacent to
12AG�ltirDtilf� C A t l Is property
located at on
(Lot, Block, Road, etc.)
►�OCjcJ` S'C? vlJY�
AaccSS _CNA14,14<=7 in "'I'DWE f:::�MoC.L S44a/e'fF<�' 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.
Description and/or drawing of proposed development:
(To be filled in by individual proposing development.)
l�'✓iL���i• ��l.Q�(��� 'i72�1>C�ih/o� U� �v �, c��S, o�=
SAD i l-f Ui,106,P-
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,a -LA 1 v Age` rD �rO jEY.J 1 S % 4> x x 0 ram,
/11 LGJ Exi s-T 0 9 N04J Is /8 ,
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17 )� -41 /1 11A
Signature
�/ J L ,a M ZM l 1 -t
Print Name
Date Phone Number

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own roperty adjacent to
OA 94 � � %- �- is property
e r t
Ig P I Y
located at LaGJ-OLL�j e2►UC' on
u�.�� (Lot, Block, Road, etc.)
►�ocjv� So
AeC-CsS e1-kA"i./4- L in �(146 MOLL S 4D2eF<�, , 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.
XI do wish to waive that setback requirement.
Date
Description and/or drawing of proposed development:
(To be filled in by individual proposing development.)
91,E r ht ► & 1,1AA(e 6 'D2&V e1 iA/,) o -3v d-u, S o c
Sao ► LS UNt��,e -t3oAT LI F-7- AICEA .A.'-1- VD Ck—'
L 0 C .A7' 10 tI ,
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/ 3 4> x/ S ,L x 3` 0661-;
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Print Name
';1 �- J7 - !0) �
Phone Number