7871_HOLLEMAN, BOBBY J_19901119

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Applicant Name Z
Address
City
LAMA AND -DREDGE AND FILL 7871
GENERAL
-7-- 7�7/
PERMIT 19
as authorized by the State of North Carolina, C
Department of Natural Resources and Community Development d astal R / mis on
in an area of environmental c nc r ursuant to 15 NCAC
d Phone(Number
State
Proie t Location (Count , State Road, Water Body, et f
Type of Project Activity
PROJECT DESCRIPTION I SKETCH
Pier (dock) length
Groin length
number- _
Bulkhead length F�
j z r
ax. distance offshore
FT
Basin, channel dimensions
cubic yards
Boat ramp dimensions
501
I/I,'/L'�f.
Zip
(SCALE:
/" XWX
Ile;
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 t'
permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that 1) this pro-
t is consistent with the local land use plan and all local
finances, and 2) a written statement has been obtained from
adjacent riparian Ian downers certi y ey ave no
objections to the pro o e wor .
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
issuing dates / expiration date
attachments / �//
application fee 2/ 24_

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AUd11CINl' RIPARIAN 11110111•]i'1'Y U4Jlllat �1'A'1'l1il:(1l'
1 hereby cerLify Utat- I own property adj
acent Lo �64�
's property located at
v
On (lot, block, roe etc.)
etc.)
In - ��% � - , N.C.
(water body) (to i and/or county)
lle lias described to me as spawn below the development lie is proposing at
that location and I have no objections to his proposal. I understand that
this pier/bulkhead/structure must be set back a minimum distance of 15 feet
(circle one)
frun my area of riparian access unless waived by me. I do do not wish to
waive Uiat setback requirement. (circle one)
#AAAAAAA#AA*A#R##A*A####A*AAAA*AAAAAAAAAARAA#AA#AAAA*AAA*AA##AAAA AAAA AAAA#
Description and/or drnwing or prop ad developmonti (to be filled
in by tndivff al ropooingl nt "
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Signature
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Phone Nwid)er

ADJACI'Nl' 111 PARI M 1' ION-UPY CN 11:11
I hereby certi[y that I own property adjacent to ,
's prolx-rty located atc�
i (lot, block, road, etc.)
on _ �^ �,/ in , N.C.
(water body) (town nr►d/or county)
Ile has described to me as slrown below the development lie is proposing at
that location and I have no objections to his proposal. I widerstand that
this pier/bulkhead/stuicture must be set back a minimum distance of 15 feet
(circle one)
frun my area of riparian access wiless waived by me. I dodo not wish to
waive that setback requirememlt. circle one)
AAAAAAARAAA#AAAA##AA#RAAAAAAAAAAAAARAAA#AA#A#AA#AAAAAAAAAAAAAAAAAAAAAAAAAA
Unecriptlon and/or drnwing or proponed developmer►tr (to be rllled
In by individual propoeinq developmont)
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