16483_WILLIS, CALVIN_19960819

CAMA AND DREDGE AND FILL
GENERAL
PERMIT
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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 %f/• //&6,
Applicant Name r f , , �' ' ` Phone Number - L.L'—
Address Z-51A
City 4-11ri.
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION I SKETCH
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore '
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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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.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
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applicant's signature
r permit orrlcer's signature
issuing date expiration date
attachments c' )/• //(' v
application fee

...... ...... .......
B. E. WILLIS LANDSCAPING
PH. 919-726-5786, NCDL 1670519
158 OAKLEAF DR.
MAILING ADDRESS: P. O. BOX 91
ATLANTIC BEACH, NC 28512
PAY L 0
10
THE
ORDER
OF
20888
66-301531
-DOLLARS I $
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111000 20,BaBlim 1:0 S 3 LOD 3001: L 3 L 2 L S 3 369 no
. ...... ....... ....... ......

9
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/UNCOVERED BOAT LIFT)
I hereby certify that I own property adjacent to �WMl�/CJ4 is
(Name of Property Owner)
property located at / -1 D z, 156 Ar
(Ut, Block, Road, etc.)
on 142 sYGZt1.G?- , in AM- 76ff s/1 6WZtTet- , 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/uncovered boat lift
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.
Y I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
7AUG
o�rnr7 -8 1996
----------------------------------------------------
Signature
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Print or Type Name
Telephone Number
Date: 5-30- 9&

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10
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERI NCOVERED BOAT LIFT)
I hereby certify that I own property adjacent to Cg W I 'J L-JI 1 i�
property located at
on
(Waterbody)
(Lot, Block, Road, etc.)
in
(Name of Property Owner)
(Town and/or County)
I
N.C.
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/uncovered boat lift
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 DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
SJa tu re
-) v A N
Print or Type Name
c2Y1- Q 9f
Telephone Number
Date: