10982_General Permit_19930119

`CAMA AND DREDGE AND FILL
GENERAL N
PERMIT fosse
as authorized by the State of North Carolina �®
Department of Environment, Health, and Natural Resources and the Coast I urces Commission
in an area of environmental concern pursuant to 15 NCAC 1 j - 4
Applicant Nap- SA2A_- r`_' Phone Number
Address
City, t' P_- l State Zip ;?
Project Location (C uniy, State Road, Water Body, etc.) ! f:4 7%-z. 40
Type of roject Activity 7 t.L T �! y L )4 k-
iF7c-Lr d Ti ,_
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PROJECT DESCRIPTION
Pier (dock) length
Groin length:
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
SKETCH Ir14 C it/
F {
y
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.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
(SCALE: � )
W
C'C
-�- e . ................
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n applicant's signature
permit officer's signature
�i i 5 �l -l%- 13
issuing date expiration date
attachments - A -711
application fee- •'/ r✓ /•� �J

a
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to A/1": , - kr.AJ
property located at
lot, block, road, etc.)
on G���1i�w�t'i� ��,f eiC in elleA-A j ef-
body o water town
North Carolina in County. The proposal has been described to me
as shown below; the development a pi&;�/bulkheadlstructure, and the proposed
k circle one
location, and I have no objections to the proposal. I understand that if the
development is a pier, it 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
(circ e)
that setback requirement.
Description and/or drawing of proposed development: Indicate the size and
location of the structure and the distance between each property line and
the water.
i
y�f
r
t __ 15
5'
(original must be retained in the inspections department)
(signature and ddte
name please print

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
1
I hereby certify that I own property adjacent to �, 0Wg `- `%i',��L,/.f/,ST
jell P-IS7��
property located at �v�'`Y� •�� 4aylTiflr4'E,
_ lot, block, road, etc.
on 44f%/ I ,, T4in
body ,9f water town
North Carolina in ,%9�6'11-/C42 County. The proposal has been described to me
as shown below; the development,a..ier/bulkhead/structure, and the proposed
(circle one
location, and I have no objections to the proposal. I understand that if the
development is a pier, it 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
(circle one)
that setback requirement.
Description and/or drawing of proposed development: Indicate the size and
location of the structure and the distance between each property line and
the water.
7
c�
(original must be retained tKhe spectipns department)
signature and date
name please print