16333_BURNES, ROBERT_19960617

CAMA AND DREDGE AND FILL 01.-0
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
Applicant Name I'r�r Phone Number _- .-qn G%f D4
Address
City 4" State zipA�
Project Location_iCounty, State Road, Water Body, et11c..))� qy// x `
Type of Project Activity ,e-l".f %iD �r a
PROJECT DESCRIPTION SKETCH E W, PTI 66
Pier (dock) length
Groin length
number
&ui(�kP1e8t1 length
max. distance offshore `
Basin, channel dimensions
cubic yards
Boat ramp dimensions
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.
(SCALE:
.............
f�.
applicant's signature
e
permit officer's signature
issuing date expiration date
attachments ©2�• /1co
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee,6�✓r
Management Program.

CERTIFIED MAIL
RETURN RECEIPT REQUESTED
DearG 6, r,
This letter is to notify you as an adjacent riparian landowner of Mr/Mrs
Z-f plans to construct
on their pro rtY located at
in Ald, Y/71 , NC. The sketch on the reverse side accurately depicts the
proposers construction.
Should you have no objections to this proposal, please check the statement below, sign
and date the blanks below the statement, and return this letter to: k4
SV r :e..
r
as soon as possible.
Should you have objections to this proposal, please send your written comments to the
N.C. Division of Coastal Management, P. O. Box 769, Morehead City, NC, 28557. Written
comments must be received within ten (10) days of receipt of this notice.
Failure to respond in either method within ten (IQL days will be interpreted as no
objection.
Sincerely,
I have no objection to the project as. presently proposed and hereby waive that
right of objection as -provided in General Statute 113-229.
I have objections to the project as presently proposed and have enclosed
comments.
ignature
DATE:

�'%No / f �'l�7rJ/� �j

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to --Poi3e2 i D, By 2ME5 's
(Name of Property Owner)
property located at k()'/ e,;1 ab s213a5 ,
(Lot, Block, Road, etc.)
on IR-CIL A), CP-CEK- , in , rnE2;�-( l i / ! AMI-IC6 , 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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
12, All
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Print or Type Name
?/1- -2 q'?- -/ 55 �
Telephone Number
Date: 1 .� 74'
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