7788_BOSLET, GEORGE_19901105

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Applicant
Address
City �
Project Lc
CAMA AND DREDGE AND FILL rF ,; i' � I g
GENERAL - --- ,J C
PERMIT--�--�-
as authorized by the State of North Carolina, /
Department of Natural Resources and Community Development d oastal 13ks �ission
in an area of environmental concern pursuant to 15 NCAC ///
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n (County/Sta�e Road, Water Body,
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
State 11- C7 Zip
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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- j applicant's signature
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 compliarks /
The applicant certifies by signing this permit that 1) this pro f�l�
ject is consistent with the local land use plan and all local issuing date expiration date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
objections to the proposed work. 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.

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR'A--rrER)
I hereby certify that I own property adjacent to6Cor-(-F &5CC-77- s
property located at .3 1 �1 Fr
(lot, block, road, etc.)
on A� L 4 0� 0� i n HYIE%AL.b f S C , N. C.
(water body) (town and/or county)
He has described to me as shown below the development he is proposing
that at that location and I have no objections to his proposal. I
understand that a pier must be set back a minimum distance of 15 feet
frqM my area of riparian access unless waived by me.
do do not wish to waive that setback requirement.
(circle one)
Description and/or drawing of proposed development:
by individual proposing development)
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65
( to be filled in
-rL ILEr'rr- �t
Signature
Name
Phone Number

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER)
I hereby certify that I own property adjacent tooc'-36O-Acc--OSe.e% 's
property located at 31CI C Ptj1 JW L '7Zj\/
(lot, block, road, etc.)
on RAkiy- `"OkilR/
in :&?aTgAC
)SC
F , N.C.
(water body)
(town
and/or
county)
He has described to me as shown below the development he is proposing
that at that location and I have no objections to his proposal. I
understand that a pier must be set back a minimum distance of 15 feet
from my ea iparian access unless waived by me.
I do do not wish o waive that setback requirement.
(circle one
Description and/or drawing of proposed development: ( to be filled in
by individual proposing development)
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4 L1f or'
I
Siznature
Name
Vly 73V S309
Phone Number