8012_GRANT, AUGUSTUS_19910503

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Applicant Name
Address
City el
f
CAMA AND DREDGE AND FILL 8 0 1 2
GENERAL
PERM I T i
as authorized by the State of North Carolina,
Department of Natural Resources and Community Development ridoasA ce Commission
in an area of environmental concern pursuant to 15 NCAC
7Z Phonefuhiber Z3 'CO ��J fig
Project.Location (County, State Road,
Type of Project Activity
PROJECT DESCRIPTION
Pier (dock) length
Groin length.
number /
ulkhead length
rZ
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
Bod� etc.)
SKETCH
QO J Ui
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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-.-�
e applicant certifies by signing this permit that 1) this pro -
is consistent with the local land use plan and all local
ordinances, and 2) a written statement has been obtained from
adjacent riparian andowners certl ying that t ey ave no
o jections tot e proposed work.
State
Zip
%L
(SCALE: )
/AW; 04���
attachments
applicant's signature
permit orDrer-s signature
ration date
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
11 application fee � I

r GENERAL PERMIT APPLICATION INFORIIATION
1
APPLICANT'S N M.: A U c1 U AMS--
(Firstj, I (Middle) (Last)
ft—ING ADDRESS: S'I i19 i 20d u h0IJ E
(PERMANENT) -Do ►2 N 11 tAKn STATE '�% ZIP / /� 9
1 z
TFa", HONE: WORK (cIC) (O q ROME (9/(Y_) 79,1 - 1 ps.3
Ci 1 `i ACTOR' S IiAME: FQ d` Fa TELEPHONE NUMBER
PROJECT LOCATION: N.C. Hwy. # Fip► JJ SR # Ibo o Road/Street Name C 06(!,"14
Waterway Name s i �, c� eo /j /c County CEN U)w
Town F�u7 AI-(. Subdivision FgSTgjITAA Adafw
PROJECT ACPTVITIES:
PIER: Total dimensions of pier from MIiW to platform
(Length) (Width)
'T' or 'L'-head platform
(Lenl;t]1) �(t'lidth) (Number of Mooring Piles)
Water depth at end of vier_-Nuz,:ber of Mooring piles
F61,T HOUSE/BOAT LIFT: Length Width
Number of Piles Water Depth
BULFE.AD: V1 Total length ,
i
Average distance waterward MHW
Maximum distance waterward MHW
1,
#2 Total length
Average distance waterward MHW
Maxim= distance waterward MHW
RIPRAP: Total length Zg Base width from MEW 4
11,4
EXCAVATION: [MAINTENANCE 'ONLY']
Length Width Depth of Cut
Adjusted water depth on MLW Existing water depth(s)
Estimated Cubic Yards (length x width x depth/2'7)
Type of spoil: Sand — Mud
Dragline _ ackhhoe Hydraulic
OTHER STRUCTUI:ES :

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
{ F'OR A P I I!:R. )
I hereby certify thatI own property adjacent to
G U S 1 L�S 1-f?,mI ' s ro ert
Name
local:-d at k l _29 s-
P P Y
, on
(Lot, Block, Road, etc.)
-i„r n/U ��2 iV JgflJ , N.C.
( ;ar.. r body) (TownAnd/or County)
Ii� :. s U'esoribed to me as shown below the development he is
propc.ising 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 feat (1S'} from my area of riparian access
unles-- 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
FILLID IN BY INDIVIDUAL PROPOSING DEMMOPMENT)
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A1 S 1 K I �1
c, Iz-
1?Fc��,K "OVIK�� Cat
Name
Phone Number

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
I hereby certify that I own property adjacent to
y Q U S/ �.LS �%z � Is property
Name
located at Ao I a 5 A- - S,f C° V , on
{^r� (Lot, Block` ,, Road, etc.) �
_ I?C rZ Ic- i n/ V tAi 13�I�1 N \ • CF,.0J r%A) , N.C.
(Wat r Body) (Town nd/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)
C (2g,
it
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W0• f
PEPOIK ffvLK41,,1 Signature
v�
Name
�3 3�
Phone Number