7880_CHAMBERS, NORMAN A_19910116

C`(v1A AND DREDGE AND FILL
GENERAL
PERMIT
..1
as authorized by the State of North Carolina,�toas.t
Department of Natural Resources and Community Development aal e �s�ommission
in an area of e vironmental concern pursuant to 15 NCAC
P�u/rhber 2�1/y541?v
Project ocation (County, State Road, Water B d etc.) �/� � s'�-G � n e7 qz
Type of Project Activity -r / / i L �f� j ,_T /
11.
PROJECT DESCRIPTION I SKETCH
Pier (dock) length
Groin length.
number
Bulkhead length
ax. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
<. Other
1 ri
0
Acc
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 tkL
permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that 1) this pro -
is consistent with the local land use plan and all local
Inances, and 2) a written statement has been obtained from
adjacent riparian landowners certl ying t at they have no
o lec I o e propose wor "^
(SCALE:
i
Ll I G
applicant's signature
s ^� permit officer's signature
issuing date expiration date
attachments ZZZ
In issuing this permit the State of North Carolina certifies that ��Oill�
this project is consistent with the North Carolina Coastal application fee
Management Program.

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PEER)
I hereby certify that I own property adjacent to %`yin C f If�lYl6��� S 's
property located at C� ( O i; 6:rp�-Rup `p?-
(lot, block, road, etc.)
on BC5G(A e SoinEM.GW`) ISLE , 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 7dol:�n0t
a of riparian access unless waived by me.
I do wish to waive that setback requirement.
(circle ne)
Description and/or drawing of proposed development:
by individual proposing development)
( to be filled in
3S 2 UU
Phone Number

r
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A -PiB
I hereby certify that I own property adjacent to ftM C14)q fo3G'K-5 I
property located at a I o tz 6j'nC-'Z.A(-D -U�,
(lot, block, road, etc.)
on 3C)(UE: SOUinEfDC-P-4Lb )SLE, 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 area of riparian access unless waived by me.
I do Co not wish to waive that setback requirement.
(circle one
Description and/or drawing of proposed development�I
by individual proposing development) 11�'
2o�5EP c l STc-
�I T K
A
f
y`
U
( to be filled in
Phone Number

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