7997_MICHAELS, PAUL_19910321

CAMA AND DREDGE AND FILL r - 7997
GENERAL
PERMIT
lT
as authorized by the State of North Carolina,
Department of Natural Resources and Community Development and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC " /' ue)ca
PROJECT DESCRIPTION I SKETCH
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore � r
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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-
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.
(SCALE:
applicant's signature
/ f\f /
)e-l(
r issuing date
attachments _ ,/P _1Ar'
is signature
expiration date
In issuing this permit the State of North Carolina certifies that �' r
this project is consistent with the North Carolina Coastal application fee rw� r ( r7
Management Program.

kDJACENT RIP7:RI7-?g PROPERTY OWNER STATE1-1ENT
(FOR A PIER)
I hereby certify that I own property adjacent to
Name's property
Name Blvd,
located at L.o-t- 2 /p I on
l (Lot, Block, Road, etc.)
U A,e, in 4egh'11 c- R7-nd) , 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.
.1k . 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 INDMDUAL PROPOSING DEVELOPMENT)
Name
(�/� i 92 -- Lf 15 Z.
Plfone Number

7,DJACENT RIPkRI;-Nl PROPERTY OWNER STATEI,iENT
(FOR A PIER)
I hereby certify)thatI own property adjacent to
Name
located at
's property
on
(Lot, Block(,�Road, etc.)
in Y-, A--)�L V, 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 (15') 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
Name
'\ 1 C�\ — -5--1'! — \Ar �
Phone Number

OUTER BANKS
MAfiIrNE CONSTRUCTION
DOCKS • SEAWALLS - FLOATING DOCKS �i
Dealer for Davit Master 00a11ilts
TIM GRIMf.$ "�
P.O. Box 1985 1919) 2.10-2525
Atlantic Beach, NC 28512
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