8877_CURTIS, ALLEN_19910822

O
Applicant Name
Address
City K�
CAMA AND DREDGE AND FILL
GENERAL
(�� A
� 88?7
A , B
PERMIT
as authorized by the State of North Carolina,
Department of Natural Resources and Community Developm ntr),/�e�Coastal Resources Commission
= in wan of environmental concern pursuant to 15 NCAC /
��'- to(,(' Phone Number
Project Lo ation County, State Road, Water Body, etc.)
Type of Project Activity 0
PROJECT DESCRIPTION I SKETCH
'ier (dock) length _
Groin length
number
Bulkhead length
max. distance offshore
rf
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 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.
State
Zip
L, G
(SCALE:
r -t ,
1
applicant's signature
a permit officer's signature
issuing date expiration date
attachments c �7
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
application fe'e— 9-o w

ADJACENT RIPAP.IA?.T PROPERTY OWNER STATE?,IENT
(FOR A
I hereby certify thatI own property adjacent to
is property
Name
located ate-c,� -�Zs
, on
(Lot, block, Road, etc.)
r `
in N.C.
(Water Body) (T wn 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.
LI do not wish to waive that setback reouirement.
I do wish to waive that setback requirement.
Description and/or drawing of proposed development: (TO BE
FILLED IN BY INDIVIDUAL PROPOSING DEVBLOPF=E )
W a ow—
?, 0/5/ 3P J3 ',(---�
IJ�14
Signature
Name
Phone Number

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
( FOR A IM
I hereby certify thatI own property adjacent to
f
's property
Name
located at141 _ . on
(Lot, Block, Road, etc.)
in //ci� , 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 (151) 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 INDIVIDUAL PROPOSING DEVELOPMENT)
I
I
M `
l
�tzl�
Signature()
Name�� OGttPSD �
e�?'?—l�8'G
Phone Number

I i
y" ,I'i� r I •! + i `yi � try,
' � r
Y 401, r• ., ', \, r ,:�"`.
fry' .
•1 +� • i r.��'�• r! �W 1�.�� � Ii.� r ..`� ` y,.c e�li� 1�l .'!k' � � ..-Il,� ✓.a,� _ it...
_ _ 1
I A ,
► r ,Y 1 �. I 1 ,
I
� 4
14 1
1W
q
���pl!.
I 4 �^ '
AP
• Y �. � fl � � I
�, ��•� '( M.T ��� '�� v� ti ��I ,III
,v •�, ,,�, �� , r _ �� � ICI
I r , �• � •^���1! I �r � v Ifll i � I�;I,� I. I� 1
t `I I