7953_ANDERSON, ALBERT_19910514

Applicant
Address
City
PLoiect Lc
CAMA AND DREDGE AND FILL
GENERAL
-Y-
PERM I T
as authorized by the State of North Carolina,
Department of Natural Resources and Community Developme end the Coastal Resources Commission
in��an area of environmental concern pursuant to I-)NCAC /'
e 610� Phone Number 7 � 7-1 a � ?
7953
0
PROJECT DESCRIPTION SKETCH
Pier (dock length U
fit,' r-" I ' 6'c6kA
Groin length
-
number
Bulkhead length "—
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp -dimensions
Other
v1
State
, etc.)
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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.
My
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zip
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appncant-s signature
permit officer's signature
91
issuing date expiration date
attachments ?h / a o
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee_ q-e)i
Management Program.

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby/ certify that I own property adjacent to /property owned by
IL�ll �` /7Ylf✓�/J/YlJ located at 1 �/1 �//� � �,{�' zoy"a— ,
(applicant) (street address)
on Core CrrePL_ in Effiefald-TIsl�, N.C.
(block #, lot #) (water body)
He has described to me the development he is proposing at above location and I have
no objection to this proposal. I understand that a pier must be set back a minimum
distance of 15 feet from my area of riparian access, unless waived by me. I do/do not
(circle one)
wish to waive this setback requirement, should it be requested.
Description/drawing (done by the individual proposing project) of the proposed project.
s.
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City, State, Zip
Phone

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to property owned by
141 eey. y.A.�, located at /j� f ,tJe
(applicant) (street address)
on (J(J / e 6, e-e i n E_ _, a
(block #, lot #) (water body)
He has described to me the development he is proposing at above location and I have
no objection to this proposal. I understand that a pier must be set back a minimum
distance of 15 feet from my area of riparian access, unless waived by me. I do/do not
(circle one.)
wish to waive this setback requirement, should it be requested.
Description/drawing (done by the individual proposing project) of the proposed project.
S' na ure
p-P t, . 0 r I L_
rin ed name
[-I'vLM c jrc4Ire c(L
Street address
City, State, Zip
hone
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