11875_PENNY, LAWRENCE_19930618

O
Applicant Name
Address
Citv .
CAMA AND DREDGE AND FILL
GENERAL Y" 11875)
PERMIT P
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC
Project Location (County-, State Road, Water Body, etc.)
State
Phone Number
Type of Project Activity f
y
Zip
PROJECT DESCRIPTION
Pier (dock) lengthi
SKETCH,
(SCALE:
f )
L
I
I
i
�'
—
j
j
i
—t—
�
I
-4
17
Groin length —
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
T
i
cubic yards
Boat ramp dimensions
I
i
Other
i
EF777
,
_J
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any
v,
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 orr'the proj-e.�t..site and accessible to the
permit officer's signature
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
issuing date expiration date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
`%
objections to the proposed work. attachments
o
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application feep.
Management Program.

w.:.,.,,;,,
LTNI'1'l 1) S,r vr1:s 1 ()ti��1, IN OlIDER 15
,..... *5�%Ko
00
47947419066 930505 285150
:0000080D..2.1:.:......�+_T9L,7L, 19066116

l l / A �jiazz (,a

ADJACENT RIPARIAN PROPERTY
hereby certify that -I own property adjacent to
Name
located at
If
6h
's property
, on
(Lot, Block, Road, etc.)
CI„�.-��L:� in L X"t-eif �r � , N.C.
(Water Body) (T wn 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)
1 �
ignature%� -%
Name
91g -
Phone Number

ea
AN PROPERTY OWNER STATEMENT
a4v�
I %,reby certify that -I own property adjacent to
's property
located at ("C/O Z�%�% / � � on
(Lot, Block, Road, etc.)
�„1;�e ►� i n6�*WA'c 0 N. C.
(Water Body) kTown 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 Bl INDIVIDUAL PROPOSING DEVELOPMENT)
Signature
Name
Phone Number

,.�r�
��; ;�,,
;� _
�� ti
7 i
.. � A
t.��'� a
""'4J
� Ff�
��.
� 1

�� ,� �+'�i _ a�,� cirri •.
M1 \
JV

Y 69
lk