13813_VALENTINE, ED_19941003

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CAMA AND DREDGE AND FILL
GENERAL t' ' 13813
PERMIT o C:!P�,, �,11
as authorized by the State of North Carolina L.�
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC
Applicant Nape � �fJ �' ` t ! �' Phone Number � �" � -37 -3J 4 1
Address
City State Zip 57 2
Project Location (County, State Road, Water Body, etc.) 3e- 0 1- i 1
Type of Project Activity '� �f7 ,f ` if �I. ; -7--- ^n r
PROJECT DESCRIPTION
Pier (dock) length
SKETCH
(SCALE:
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Groin length
number
ism
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mass
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Basin, channel dimensions
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ONE
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yards
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r �(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- f applicant's signature
come null and void. �' J ✓1` .J
7
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-
.
Is consistent with the local land use plan and all local issuing date expiration date
ances, 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 >/ r-�� f1 rJ7E
this project is consistent with the North Carolina Coastal application fee
7 %� t s
Management Program.

I
W �A
1�
THIS MULTI -TONE ApEA OP THE DOC CheckOfficial
To repill
� this Of(lc,al Check for any r
lndemnieaaoq will regylre aA
fYin8A8+'eamanGoraBoAd
Date: OCTOBER 3 1994
r Pay To The ** �.000495216
Order Of D.E.H.N.R.*** -
t(ll. $5 0 . 0 0
I4,Ull I:lilt" low
For `R�4 AI P E R Z T
Vg�l
N.A
Raleigh N( lil!)1 7hhG
A4tln,,,n lt' 1000495 2 16n■ 1• -
.0531076331:016260 99 00211'
1

I hereby
(�certify that •I own property adjacent to
11� P, edl ViaZ�: I i�9 Tz 's property
Name
located at .6 (o P1 /,11� I.A I I o­ 1 l2I - on
1 Pi A Q Q fi A �� cL in /il&) �F.<� N . C .
(Water Body) (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 must be set back a minimum
distance of fifteen feet (151) 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 INDMDUAL PROPOSING DEVEWPIENT)
a
--^ a t ti r e
Name
Phone Number

ci ! ,
c 7 1 3
QL—
or
I

i r
I
I hereby certify that -I own property adjacent to
Zi tr Isproperty
,
Name
located at �� (, V�,� oz on
D n (Lot, Block, Road; etc.)-
f}�,.F;U 4 n /Z9 1913 zlral") a2 C �1a N.C.
(water Body) (Town find/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 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 that setback requirement.
I do wish to waive that setback requirement
Description and/or drawing of proposed development: (TO BE
iature
Name
Phone Number