HomeMy WebLinkAbout14868_ALFORD, BEN_19951101Applicant
Address
CAMA AND DREDGE AND FILL 14868
GENERAL -� P
PERMIT '� � � � �,�� .�-�� C
as authorized by the State of North Carolina ;... f• sr
Department of Environment, Health, and Natural Resources and the Co"al R� Commission
in an area of environmental concern pursuant to 15A NCAC`
PhClsd'umber e:;�''
City '�.� '. .�' .+"'':ad ri7e°' State O1V- , - Zip Epp'
Protect Location (County, State Road Water Body, etc.)3.. 7 7 '�':f�•rrcd�
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Type of Project Activity I ` ' �°
Ah
PROJECT'
(dock) length
"
UpPier
No
._
PAN
'
1122.
■
■■.
■
Basin, channel dimensions
cubic yards
Boat ramp dimensions
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 Ad accessible to the
permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that 1) this pro -
10is consistent with the local land use plan and all local
nances, 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.
applicant's signature
Ar permit officer's sign�aturee,
issuyvate expiration date
attachments
application fee _ a�
t�vl'rEn. 5TMES p0�S� l�l.. is :y 000
1,800
63009821597 _ ._ :'S
U. S. DOLLARS AND CENTS
PAY TO CHECKWRITER
IMPRINT AREA
ADDRESS
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USED FOR
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ADJACENT RLPARZk N P OPERI iY OWNER R STATENM, NTT
' {'FOR A PIERIMOORING PILINGSIBOATLIFTiBO.4THOUSE-)
I hereby certify that I own property adjacent to'E en/ A CC 's
/ (Name of Property Owner)
property locates] at L. a�(-�-- / / , cDU� f1��°G 4:2 d/je cyt</
(Lot, Block, Road, etc.)
on OU�J AA�(
--�—oul e- 1,4-�e- , in AJ&c<J & to .u/ ' wue v� , 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/boatlifL/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 DR NVP G OF PROPOSED DEVELOP,' MN-T:
(To be filled in by indiiidual proposing development)
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PROPOSED BULKHEAD
A_DJA CE'N-T �'A_IRLA-IT PRO " , � ON�'1`�ER STATEA1 N
(FOR A PIEFUMOORING PILIN'GS/BOATLITTIBOATHOUSE)
I hereby certify that I own property adjacent to C)- IAe:7ou- Ve- Zt- eye s%, s
(Name of Property Owner)
property located at ��T
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(Lot, Block, Road, etc.)
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on 01sve— L r V-e- , in 6) - �-2I'ZA- s e,,L-/ , 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/boatliftfboathouse 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 A:NTD/OR DRA`VP G OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
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Date: 10' 15 hf
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ADJACENT RIPARLA- T PROP �R�:FY ON�WER STATEMENT
(FOR A PIERIMOORING PILI:VGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to s k �' 's
(Name of Property Owner)
property located at4—
(Lot, Block, Road, etc.)
on �,� T , in j►�;ee4ti - �� q , 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 kND/OR DRAWTG OF PROPOSED DEVELOPNfE\-T:
(To be filled in by iadiizdual proposing development)
------------------ — --- — ------- — — - - -------------- - - ---------
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Telephone Number
Date: / a / 7- 94 --
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ADJACENT RLPL4 N P OP tE RTY OWINTLR STATEAIE NTT
1'FOR A PIERIMOORING PILI;\'GSIBOATLIFTiBOATHOUSE)
I hereby certify that I own property adjacent to er �o W-J is
(Name d Property Owner)
property located at �ert `%'? , ercf qv�'-4L ,.iL - 6(9,:-F6 "J W 6
(Lot, Block, Road, etc.)
on D«T .J
� ��+tiC— I.,a k� , in euy &K ,d 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.
✓x I do wish to waive that setback requirement.
DESCRIPTION A..N-D/OR DR 'WDN;G OF PROPOSED DEVELOPINMN-T:
(To be filled in by indiv&ual proposing development)
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Print or Type Namr
Telephone Number
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PROPOSED BULKHEAD
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