8842_HARDY, ROBERT G_19910819

Applicant Name _
Address
City
Project Location
CAMA AND DREDGE AND FILL Cc }
GENERAL
PERMITL;�,*-e
as authorized by the State of North Carolina,
Department of Natural Resources and Community Development�dfi oastal �v ission
in an area of enviro ental concern ursuant to 15 NCAC ��/ �.
Phone�Nu/rrSber� 126
Type of Project Activity
L/�I
r
%.'o�a d
To
r
Zip
PROJECT DESCRIPTION SKETCH (SCALE: )
°ier (dock) length
�Q
Groin length
number
Bulkhead length
Wax.. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
20
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 t4e
permit officer when the project is inspected for compliance.
Tapplicant certifies by signing this permit that 1) this pro-
f s consistent with the local land use plan and all local
o ances, 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.
s signature
permit cffic is signature
I
issuing date expiration date
attachments 1171,
�i
application fee

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
I hereby certify that I own property adjacent to
CPCt C h10D Diq�Jc is property
Name
located at 2-0 �- LANDS CAiD 20 A-b , on
(Lot, Block, Road, etc.)
BOC--%) 5;00Nt) in 1109E404D CrTi CA-e7- Ac=T- N.C.
(Water Body) (Town and/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)
Signature
,:(-,)d (-( �-' � �
Name
Phone Number

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
I hereby certify that I own property adjacent to
• *0 1) l Is property
Name
located at 204 L'JNDS 6-ND PO*J> , on
(Lot, Biock, Road, etc.)
6-0 6- SO(/NA in R0k #MP C/TYI'lcmwer CVOWT-1 , N.C.
Water Lody .4 ,( ; 1 �
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. -
X 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
A&V-AWAi-ASaJ
Name
7A -Og31
Phone Number