7892_BRUMBACK, ELISABETH_19910215

Applicant Name
Address —Aitl
City
Project Locati9r
7892
CAMA AND DREDGE;AND FILL 8�GENERAL//— l
PERMIT.
as authorized by the State of North Carolina, �/
Department of Natural Resources and Community Development and e I ResouyE O sion
in an area of environme tal concern pursuant to 15 NCAC �� �] on.
Phone Nufnbe(�� / ,2Z7
nty, Stateiy�oad, Wijter Body, etc.)
Type of Project Activity
�%UCye 2"
PROJECT DESCRIPTION SKETCH
Pier (dock) length
Groin length
number
Bulkhead length
ax. distanceoffshore/
Basin, channel dimensions /
cubic yards
Boat ramp dimensions
Other
State
Zip
(SCALE:
v
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,
- - applicant's signature
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's signature
r
permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that 1) this pro-
0
is consistent with the local land use plan and all local issuing date expiration date
nances, and 2) a writ n statement has been obtained from //R
adjacent riparian landowners certi ying that they have no7///.
objections to the propo — __ attachments
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee
Management Program.

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
EB 141991f�F
I hereby certify that I own property adjacent to �'L! / �t Betun bF4c%
property located/described as 2 %� S'1 /c+/cc� &Z ► D
adjacent to 40/L .5e Al 61.7 �}CJC SC AJ d l Ile A/ C , , North Carolina.
He has described to me as shown on (attached) the development he is proposing at
that location and I have no objections to his proposal. I understand that a pier,
boat ramp, or dock must be set back a minimum distance of 15' from my area of
riparian access unless waived by me. I do/do not (circle one) wish to waive that
setback requirement. I do/do not (circle one) have objections to locate a boat
ramp, pier or dock within feet from our property line.
Description and/or drawing of proposed development: (to be filled in by
individual proposing development)
B'J'e'
signature
name
(-" I � � �?y�-19i CI
phone number
L

O i�.i
q
FEB 1 419 1
IA ADJACENT RIPARN PROPERTY OWNER STATEMENT
_.�.TL`1�-'_I
I hereby certify that I own property adjacent to t1l.SRl Ti�f �3/2CIi� �I9Ci�
property located/described as 7*2 8L i0 i7
adjacent to t0,r iS&a (3A;' TAcr{.SdAjUc 116 , Al. = North Carolina.
He has described to me as shown on (attached) the development he is proposing at
that location and I have no objections to his proposal. I understand that a pier,
boat ramp, or dock must be set back a minimum distance of 15' from my area of
riparian access unless waived by me. I do/do not ( circle one) wish to waive that
setback requirement. I do/do not ( circle one) have objections to locate a boat
ramp, pier or dock within feet from our property line.
Description and/or drawing of proposed development: (to be filled in by
individual proposing development)
i
L
si re
� Y U-)
name
phone number