7885_JENKINS, TODD_19910201

Applicant
Address
Type of Project Act
'EAMA AND DREDGE AND FILL �
GENERAL
PFRNAIT C
�7885
as authorized by the State of North Carolina,
Department of Natural Resources and Community Development nd oastal R C r� si
in an area of environmental conc fsuant to 15 NCAC '
j G't�f Phone Number
PROJECT DESCRIPTION SKETCH (SCALE: )
Pier (dock) length
M RN -M RIE CA N A L,-
Groin length.
/
tpiPr eYlirlfl
number EX GLK►� pR� st Kl 1 i31 k
Bulkhead length � `
Hye/' 2 Fr
ax. distance offshore
.S�
Basin, channel dimensions
cubic yards
f
Boat ramp dimensions yU A
T
Other
S
N
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-
9is consistent with the local land use plan and all local
dinances, and 2) a written statement has been obtained from
adjacent riparian fan owners certifying that they have no
objections to the proposed work.
issuing date
attachments
applicant's signature
/y�'��
permit officer's signature
f
expiration date
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee
Management Program.

Qvoc-'N�-.4-6
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT ( )
I hereby certify that I own property adjacent to -7-v,r)r\, - s
property located at
(lot, block, road, etc.)
on C��AI-
!)T1- r,t
in - , N.C.
(water
body)
(town and/or county)
He has described to me as shown below the development he is proposing
that at that location and I have no objections to his proposal. I
understand that a pier must be set back a minimum distance of 15 feet
from my area of riparian access unless waived by me.
I do / do not wish to waive that setback requirement.
(circle one)
Description and/or drawing of proposed development: ( to be filled in
by individual proposing development)
C Rti��
L OT z Z 00
K �► � � c'uP c eTy
oxR�� Lor 3
Signature
Name
Phone Number

I. . ................

i�01.k/-t- LAt�
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT ( )
I hereby certify that I own property adjacent to TZs
property located at &Loa D%%di s SALTY SNok t
(lot, block, road, etc.)
on in C4e•rCee-r �, N.C.
(water body) (town and/or county)
He has described to me as shown below the development he is proposing
that at that location and I have no objections to his proposal. I
understand that a pier must be set back a minimum distance of 15 feet
from my area of riparian access unless waived by me.
I do / do not wish to waive that setback requirement.
(circle one)
Description and/or drawing of proposed development: ( to be filled in
by individual proposing development)
GOT
�( ENn1 RTW
TVa� SLN�11'J,S
�u any (3L 1
Pam[
Signaturd
Name
cRa3- ys3
Phone Number