8836_BARTON, ELLEN S AND JAMES A BRODE_19910723

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Applicant Nam
Address
City. �P
Type
CAMA AND DREDGE AND FILL / 9 8 8 3 0/GENERAL ,J
PERMIT Cod
as authorized by the State of North Carolina,
Department of Natural Resources and Community Developmen Weo o rces Commission
in an area of environmen I concern pursuant to 15 NCAC9 //
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PROJECT DESCRIPTION I SKETCH (SCALE: )
°ier (dock) length
Groin length,
number
Bulkhead 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 access ible'1e_xUe
permit officer when the project is inspected for compliance.
T�applicant certifies by signing this permit that 1) this pro-
f s consistent with the local land use plan and all local
or nances, 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
/ permit officer's signature
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issuing date expiration date
attachments — Z�/�
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
application fee � • �� C"�� ��

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
I hereby certify that I own property adjacent to
's property
Name
located at — /% / f�� ��� :����- .. L��4 f� on
(Lot, Block, Rodd, etc.)
i n���.< , N.C.
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 (15') 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 ING DEVELOPMENT)
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'.ster body) (town and/or county)
to me as SIK"wil belod the cicve.toljrycr:t 1►e .le pcopos.tng at
CbJections to Ids proposal. I Luldctstard tbat
at/5t1ujcLure must be Fet Clack a minis n distance of 15 feet
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