7945_BIGGENSTAFF, LEWIS_19910102

7945
CAMA AND DREDGE AND FILL r C 1
GENERAL
PERMIT
as authorized by the State of North Carolina,
Department of Natural Resources and Community Development and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC
Applicant Name
Arldrecc
City
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
This permit is subject to compliance with this application, si;fe
drawing and attached general and specific conditions. A X
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.
State
Phone Number'
zip
' (SCALE:
attachments
application fee
1 applicant's signature
f,
permit officer's signature
issuing date expiration date
7) ;

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
I hereby gerti.fy that I own property .adjacent to
h Is property located at
(Name hf7 Property Owner)
, Block, Road, etc.)
on act(-T;W.4.) in "_ /J )F4�, �T'�',. N. C .
(Naterbody) (Town and/of County)
f,t has described to me, as shown below, the development he is
_:,Dpo,ing at that location, and, I have no objections to his
:..-oposal. I understand that a pier must be set back a minimum
u.:.�zance of fifteen feet (15') from my area - of riparian access
u:iless 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)
O
a b
signature
Print or Type Name
Telephone Number .

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ADJACENT MARIAN PROPERTY QWNER S'I't.TEMENT
(FOR A PIER)
I hereby-gertify that I own property.adjacent to
's property located at
Property Owner
(Lot, Block, Road, etc.)
on OASOWI 64&6 in /V)eud /T F_ a) N.C.
(Naterbody) (Town and/bounty)
F!.. has ,described to me, as shown below, the development he is
_._oposing at that location, and, I have no objections to his
:.:oposal. I understand that a pier must be set back a minimum
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.
DE_SCRTPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(`10 be fi•? led -Lft by ivLd viCiva. pr oposi-aJ development)
104
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Print or Type Name
Telephone Number .

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