15917_BURRELL, HARRY_19960104

CAMA AND DREDGE AND FILL lio 01 917
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 7 1-1 ) °, o
Applicant Name H 0 Phone Number 11 7 1;�
Address
City `� F I' -{ State �� Zip S
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity r '` '' y �'�' L X S-
n _44
PROJECT DESCRIPTION SKETCH (SCALE: i
_ ::� fit, � � �'+ C il,•t !' _ f � ! �i
Pier dock) length 3 _ C.� r
Groin length ` b
number!
Bulkhead length
max. distance offshore 3,9
Basin, channel dimensions
cubic yards
Boat ramp dimensions St'
O
Other
' triL
n
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 signature
(k 1AA17
permit officer's signature
issuing date expiration date
attachments % C / j Z� —)// ! � () r;
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
application fed'

WARREN MARINE
WARREN SPRINGSTON, OWNER
LIC. 3800599 SSN 234-96-9836
325 BOGUE PINES PH. 919-240-1266
P.O. BOX 926
NEWPORT, NC 28570
PAY .,_I'E 1v
ORDE' �E
1906
66-71141
19 �� 2531
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RALEIGH FEDERAL DOLLARS
\G P_ � 5q 17 SAVINGS BANK
w n RALEIGF{. NC
FOR
11 0000 190 611' I: 2 5 3 1 7 1 1 I, 21: 1 5 50000 7 3 2 14,

AD.JAENT RIP_ARIAN PROPERTX OWNER STATEMENT
(For a Pier)
I hereby certify that I own property adjacent to N r r r V B t -r rA
(Name)
property located at 5a_ le 7 r ._ _ on
(Lot, Block, Road, etc)
C 60 In CeL e_ / -- , NC.
(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 0 5') 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)
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3 /� X /cJ Ko eJ W/ i `�'{� �' i� l !a %//
Sit ,rcoo/ Yo C�vO�L . �'1G✓lC�f 0.� On a(I S�', ,f Or CIOC� .
:signature
Print or Type 14ame
� 1
Phone Number

ADJACENT RTPARIJA PRO RTY �W�TER STATF.�VIF
(Fur a Pier-)
I hereby certify that I own property adjacent to 17—al rry A. ,-re ll 's
(Name)
property located at 51 a , r . — -- -- -- _ -- - - -. on
(Lot, Block, Road, .tc.)
W in O�r /I r e 64-11 L ,ITC.
(water Body) (Town and/or C mmty)
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 individual
proposing development)
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5 k-' i r&YAY 16 o106 /� S/ L% S Df Dec /C -
SWiamre
pralt or Ty e Naz IC
phone 'Number -_ - -

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