8838_DURSO, EUGENE M_19910729

ti
no
Applicant Name
Address ,—`�
Project Location (
CAMA AND DREDGE AND FILL 8838
GENERAL 9(�f-;C51el
PER MIT
as authorized by the State of North Carolina,
Department of Natural Resources and Community Development !?nt4 astal R',g'o Co is on
in an area of environmental concern pursuant to 15 NCAC •
Phone &ber 6Cggq��=
PROJECT DESCRIPTION I SKETCH (SCALE: )
"ier (dock) nth
Groin length
number
Bulkhead length
Wa.-x-7;istance offshore
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 comp lance.
T applicant certifies by signing this permit that 1) this pro
j s consistent with the local land use plan and all local
o antes, and 2) a written statement has been obtained from
adjacent riparian !an owners ter n a t ey have no
o ec onriparian
propo
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
applicant's signature
i pe it or icers signature
9
issuing date expiration date
attachments , /
� 'mod
application fee C— C
_ � r

GENERAL, PERMIT APPLICATION INFORMATION
APPLICANT'S NAME:
?ii.:.ING ADDRESS:
((First) (Middle) (Last)
I 0 1 �
A)
(PERMANENT) A'
f 3 STATE %VCR ZIP �n Q
TELEPHONE: WORK(- ) HOME (�
^��C
3ACr2' S 1 ": f Q �`' d` TELEPHONE NUMBER �1 c!—
PROJECT LOCtc r..- ON: N.C. Hwy. SR # Road/Street Name I`Na7X;0Vx DIP,
Waterway Name ; ori" Qr,,, Q ,ujli. County rC
Town �j ►3,� Subdivision �r,,041
PROJECT ACTIVITIFS:
PIER: Total dimensions of pier from MHW to platform
(Length) (Width)
or 'L'-head platform
(Length) (Width) (Number of Mooring Piles)
Water depth at end of pier Number of Mooring piles
F66-T HOUSE/BOAT LIFT: Length Width
Number of Piles (O Water Depth
L'ULRHEAD: #1 Total length
#2
Average distance waterward MHW
Maximum distance waterward MHW
Total length
Average distance waterward MHW
Maximum distance waterward MHW
RIPRAP: Total length
EXCAVATION: [MAINTENANCE 'ONLY']
Base width from MHW
Length Width Depth of Cut
Ad;usted water depth on MLW Existing water depth(s)
Estimated Cubic Yards (length x width x depth/27)
Type of spoil: Sand _,_ Mud _
Dragline Backhoe
OTHER STRUCTURES:
Hydraulic

.f 'N
n
?' dAN I
ola'vh

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
I hereby certify that -I own property adjacent to
's property
Name
located at 16 Kti 6- m, . -Do, on
(Lot, Block, Road, etc.)
llgeCB+.v,A-L in A)&J Qom" N.C.
(Water Body) (Town and/or County)
He hF.s 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)
Signature
IJ� s
Name
Phone Number

RIPARIAN
'ERTY OWNER STATEMENT
(FOR A PIER
I hereby certify that I own property adjacent to
L vCi eon J ) ) rzi a 's property
Name
located at In I— Mu 011
, on
(Lot, Block, R�d, etc.)
,C)J%, 25r 'x
J � A, � �i� U�!'/• in /1� Aw fillya (5?01 A0 , N.C.
(Water Body) (Town and/or County)
He hE.s 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)
Signature
Name
c,-(1� / C,33�?7o
Phone N er