HomeMy WebLinkAbout13981_WHITEHOUSE, DON & LEDDY, TERRI_19950222CAMA AND DREDGE AND FILL
GENERAL
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 (-')'i " -
Applicant Name . - t'1 Jl �iil r }1t.)u Phone Number �y V_ 3918?
Address
City�.i �wk 4 State -
Sta_ —� r Zip ;28j
Project Location
Type of Project Activity
, State Road, Water Body, etc.
EC — f �cJ P7,4 F
PROJECT
Pier (dock) length
MEN
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MEMO
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Groin length
ME
MEN
0
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.Ml�-F99-9
ir3EO
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■SIN■■■■■■■■E■■■
max. distance offshore
ME
■■
■
■
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Basin, channel dimensionsEEO■
■
ENMM
■■OEEM_�■■■i■■■
cubic yards
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 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.
applicant's signah
permit officer's signature
issuing date Jxpiration date
attachments 0714. 1169
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee . ' %' r`2 717
Management Program.
LAW TRUCKING SERVICE
112 CREEKVIEW COURT 919-249-0523
MERRITT, NC 28556
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13
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIF (BOATHOUSE)
I hereby certify that I own property adjacent t" b, gIpN ,rgti awst! ��C r' 600,t 's
o i l 3�� �� 7 i (Name of Property Owner)
f �'Property located at Q A Ay SIa a ms 5 [--� i P ttj
(Lot, Block, Road, etc.)
on PAh �, Y—v , in rr3W Nili4lP L Co,Awftr , 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. ��: �,�\1�1 �� o.,.ly , ��•� �;�
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DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
1 (To be filled in by individual proposing development)
�u2s"rlkVid
a
91-gnature
Print or Type Name
Telephone Number
Date: "-�' ('s- (QQ
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent tom �Jw11►� tag nsL��F L6o� i 's
nn (Name of Property Owner)
property located at ti u7 j lj A-CIV-15 C s ;'A—C. 5 ,
nn (Lot., Block, Road, etc.) Q /�
on 3 A'i 1`�v e K , in ` -owN & W�-t° �j. ll 64M Lto-0 CZAAwa , 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.
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CRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
Signature
/,"-
Print or Type Name
Telephone Number
Date: -),