7868_FRANGLES, HENRY_19901213

CAMA AND DREDGE AND FILL
GENERAL
PERMIT
el 7868
C
as authorized by the State of North Carolina,
Department of Natural Resources and Community Development and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC
Applicant Name % / Phone Number
Address t-4 11/
City State Zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION SKETCH
Pier (dock) length
Groin length
number
Bulkhead length
max. distance 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 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.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
attachments
application fee
(SCALE:
applicant's signature
permit officer's signature
,
issuing date expiration date

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ADJACENT RIPARIAN PROPERTY OWNER STATEMgT
I hereby certify that I own property adjacent to_ I V • P I C- _' s
property located at_ V i ilt u j e aJ L.o-}-
(lot, block, road, etc. T
on c in 1Lr - P,,j:-d
(body of water) (town) '
North Carolina in Pamlico County. The proposal has been described to me as shown below;
the development, a ie bulkhead/structure, and the proposed location, and I have no
(circle one)
objections to the proposal. I understand that if the development is a pier, .it must
be set back a minimum distance of 15 feet from my area of riparian access unless waived
by me. I do do no wish to waive that setback requirement.
(circ e one)
Description and/or drawing of proposed development: (to be filled in by individual
proposing development.) INDICATE THE SIZE AND LOCATION OF THE STRUCTURE AND THE
DISTANCE BETWEEN EACH PROPERTY LINE AND THE WATER.
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(Original must be retained in the Inspection Department)
Signature
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Name (Please Print)
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to• i' e} (s
ty located aP Loproper
(lot, block, road, etc.
on W to: lurk-e r C C-,e k in
(body of water) (town)
North Carolina in Pamlico County. The proposal has been described to me as shown below;
the development, a ie bulkhead/structure, and the proposed location, and I have no
(circle one)
objections to the proposal. I understand that if the development is a pier, it must
be set back a minimum distance of 15 feet from my area of riparian access unless waived
by -me. I do do no wish to waive that setback requirement.
(circ e one)
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+-Description and/or drawing of proposed development-. (to be filled in by individual
proposing development.) INDICATE THE SIZE AND LOCATION OF THE STRUCTURE AND THE
DISTANCE BETWEEN EACH PROPERTY .LINE AND THE WATER.
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(Original must be retained in the Inspection Department)
Cigna ure
Name (Please Print)