7939_CLIFTON, LEON_19910313

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CAMA AND DREDGE AND FILL
GENERAL
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PERMITr) oc�:� LA-)
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as authorized by the State of North Carolina,
Department of Natural Resources and Community Development and the CoPtal Resources Commission
in an area of environmental concern pursuant to 15 NCAC / /- ��DU
Applicant Name �1 n lu �1 7 / ON Phone Number
Address �CL�nTRCnV_�,MPQT��
City7_1;a* UV � o(Isz_- State Zip
Project Location (County, State Road, Water Bodetc.)
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Type of Project Activity
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PROJECT DESCRIPTION I SKETCH
Pier (dock) length
(SCALE:
Groin length.
number
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Bulkhead length
max. distance offshore ((((
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Basin, channel dimensions �(
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cubic yards
Boat ramp dimensions
Other
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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 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.
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applicant's signature
-a
ermit officer's signature
i
is uing date expiration date
attachments __211
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
application fee low V
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NEPTUNE MARINE CONSTRUCTION
Rt. 3, Box 236
BEAUFORT, NORTH CAROLINA 28516
[phone]
Roger Conner, Owner
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to property owned by\_!�_(p A '�a
located at
(applicant) l (street address)
(block #, lot #) (water body)
He has described to me the development he is proposing at above location and I have
no objection to this proposal. I understand that a pier must -be set back a minimum
distance of 15 feet from my area of riparian access, unless waived by me. Pircle
/do not
one)
wish to waive this setback requirement, should it be requested.
Description/drawing (done by the individual proposing project) of the proposed project.
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Signature
Printed name
Street acTdTess
City, State, Zip
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Phone

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to property owned by CL \V o Y-j
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located at
(applicant) street address)
on ice- E""e4r&
(block lot) (water body)
He has described to me the development he is proposing at above location and I have
no objection to this proposal. I understand that a pier must be set back a minimum
distance of 15 feet from my area of riparian access, unless waived by me. d Vdo not
(circle one.).
wish to waive this setback requirement, should it be requested.
Description/drawing (done by the individual proposing project) of the proposed project.
Signature
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Printed name N
Street address
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City, 'S�tate, Zip
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Phone