11863_WIGGINS, KENNETH_19930527

CAMA AND DREDGE AND FILL
GENERAL
PERMIT
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
Applicant Name f Phone Number
Address
City State Zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
SKETCH_-` 4e, (SCALE: Z / )
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.
,-
applicant's signature
!J
issuing date
attachments
permit officer's signature
expiration date
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
application fe (7 L, i ,, /2 b 53/ 72C c 7

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47853957047 930601 285120 5 0,: 0 0
SERIAL NUMBER YEAR MONTH DAY
P05T OFFICE U. S. DOLLARS AND CENTS
PAY TO CHECKWRITER 1��C ,!pqr�� Iyyyyyy�]
IMPRINT AREA
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COD NO. OR
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AD,7AMPr RIPARIAN 1,Rop RTY OW\,ni? R1'11T��iE��TJC
I liereby cartify that I awn property adjacent to��_
rropoity located at 793 Z/--61Y
on
( lot, bloin cicL�, mad, etc.
• (body of water) (tom)
NorthCarolina in Pamlico County. The proposal has been described to me as sha,,n belot.,;
the dcveiogrent, a leer/bulkhead/structure, and the pitiposed location, and I have no
(circle one)
objections to the proposal. I understand that if the development is a pier, it must
ho sec hack a minim= distance of 15 feet from my area of riparian access unless w,liv(,d
`-Y mo. 1 d o no wish to waive that setback requirement.
(ci one)
Description and/or drawing of proposed development: (to be filled in by individual
Proposing development.) INDICATE THE SIZE AND I=TION OF THE STRUcr=- AiQD THE
1'ISTAVC0 f3L• MTM EACH PROPERTY LINE AMID THE MTER. Draw in bel_ 'OR
�„ .� ,� � seoar�,te
�h., t tlm adjacent _LQpertv aver must initial and date that s eet;r signature on
this paper. ------
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(J icjinal must be retained in the Inspac�
t on Dei,;.Zt�:snt)
aturc`
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AAT^,CI 7r Iu'PARiATd PROPERTY OW,.\T.It �Tr1TI �ii �Vz'
I hereby certify that I awn property adjacent toti„��/' w
rMPOrty located at
(lot, block, mad, etc. a� {
°n in
(body of water)
North Carolina in Pamlico county. The proposal has been described to me as shot,:n belay;
the dcvelopsrent, a tier/bulkhead/structure, and the proposed location, and I have no
(circle one)
objccti.ons to the proposal. I understand that if the development is a pier, it must
I,•y sc� tack a minimum distance of 15 feet frcm my area of riparian access unless waivod
c o/dc not wish to waive that setback requirement.
(circle one)
>;•=;.a*>f�:rat,r�a�zr>ts�,7s►,t,,>ttttr*�ttr,t�t���a��a�t,tt��>4*�e+�,a�tr*�tte�*�t,��t*+t�,at�t����*�et�a�►t�r�e**��>}��**gait*,�,r#*
C�escription and/or drawing of proposed development: (to be filled in by individual
promising development.) INDICATE THE SIZE AND LOCATION OF THE STRUCTURE AND THE
IiISTAFCC BL'1� M EACH PROPERTY LINE AND THC 1+I11TER. Draw in ben. OR
�., � d sn sep___. crate
�h,.� elm adiacent po e
eras pacercomer must initial and date that s eeY;,signature on
.
k:,•:'.•trw:lti::}�'rdx't14.:7 fi:::4t`::)dttyi7:`rtTis:4i:itf•:7trd�7t7Airi:t7:7:2tht'tA{.`tlt7t7o�,htlY�r��1::;e7{•;t:t'r:Rirtttl:?:){t^,��i `s`.>t'k:7::•kst::�t:y�zfiFk:!.
(Original must be retained in the Inspacticn Del,-arL-rent)
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