8890_MCCLOSKY, JIM_19910904

CAMA AND DREDGE AND FILL%- -' {
GENERAL
PERMIT
as authorized by the State of North Carolina,
Department of Natural Resources and Community Developmenj�and the oastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC -Z /Z 0
Applicant Name
�� Address
City _ S uA VN u." State
Proj ct Location (County, State Road, Water Body, etc.) �'
Type of Project Activity
PROJECT DESCRIPTION j SKETCH
°ier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
/I
Basin, channel dimensions
cubic --yards
Boat ramp dimensions
Other
This permit is subject to compliance with this application, ite
drawing and attached general and specific conditions. A y
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.
Phone Number ri CA?— h
SC, zip l �i
(SCALE: )
applicant's signature
permit officer's signature
issuing date expiration date
attachments _ / `, `/! C 7/T /l n /J
In issuing this permit the State of North Carolina certifies that this project is consistent with the North Carolina Coastal application feet 0 . _
eq,-)
Management Program.

. -t
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
I hereby certify that - I own property adjacent to
ni �C� &J 's property
Y Name
located at J,07` --� l (P d jFC S on
(Lot, Block, Road, etc.)
S PQ146. 4 Cern in N &) InJ�Ilra CiIZU IW N.C.
(W ter Body) (Town and/or County)
He ha.s 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
FILLID IN BY INDIVIDUAL PROPOSING DEVELOPMENT)
s/Z etc Q.
Si nature
.to j
Name
Phone Number

ADJACENT RIPARIAN PROPERTY CUNER STATEMENT
I hereby certify that I own property adjacent to
Oa C 's property located at
°(Name of. Property Owner
15
(Lot, Block, Road, etc.)
PIZ) �. i/2 C in AJ �. /3��� �Rfy N.C.
(Wat rbody) (Town and/or County)
_He.ha4 described to me, as shown below, the development he is
_proposing at that location, and, I have no objections to his
proposal.
----------- -------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To.be filled in by individual proposing development)

GENERAL P.LZHIT APPLICATION INFORMATION
APPLICANT'S HIM:
(First) (Midd(La )
]];.��)
!fie--ING ADDRE,S:
nvre�.
(PERMANENT) ► )
1
ira" S UCh11 Q11 STATE %�%�.
�,�ZIP
i' .sPi1J:1i? : woi?K (,Sok) 1� ? d . 60,?6 HOME ( )
FO L & 4 i- F' d 4 6oe TELEPHONE NUMBER ?/CI- Gab -,;?J-A
PROJECT LOCATION: N.C. Hwy. # SR # Road/Street Name
Waterway Name 79Z ,► ' County C&Or..�
Town /� ���j Subdivision
PROJECT ACTIVITIFS:
PIER: Total dimensions of pier from MHW to platform
(Length) (Width)
'T' or 'L'-head platform
(Length) (Width) (Number of Mooring Piles)
Water depth at end of pier
b?d►OT HGUSE/BOAT LIFT: Length
Number of Piles
Number of Mooring piles
Width
Water Depth
i
ail. Total length
Average distance waterward MHW • 6
Maximum distance waterward MHW
#2 Total length
Average distance waterward MHW
Maximum distance waterward MHW
RIPRAP: Total length Base width from MHW
10CCAVATION: 1MAINTENANCE 'ONLY']
Le,igth Width Depth of Cut
Adjusted water depth on MLW Existing water depth(s)
Estimated Cubic Yards (length x width x depth/27)
Type of spoil: Sand Mud
Dragline Backhoe Hydraulic
OTHER STRUCTURFS:

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