12198_BEARD, HAROLD_19940613 (2)

DCAMA AND DREDGE AND FILL
GENERAL N° 12198
PERMIT
as authorized by the State of North Carolina F I L E
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC / tiA C C
ApplicanName �� "� O �-Q/X Phone Number D Z[l
Address ,2' 3 Z= r = l.-' 4= G L Z�Ioa Z
City C -i .-P S iY--_ State 4'—C- Zip —
Project Location (County State Road, Water Body, etc.) � C0y � fit � 3 �/
0a �7 a c 'Yr, C� A— �, A/ v c v_-7o
Type of Project Activity 4 i _c 1� l �� S r k, 2-lo -e
PROJECT DESCRIPTION
��-- r
Pier (dock) length 77 !�
Groin I` nth
1number
1 Bulkhead length
V
-iax. distance offshore
SKETCH L W /T/-) (SCALE
1
Lr_
�L/ -
Basin,channeldimensions
cubic yards
_- -�Boat ramp dimensions
Other ---'— — - --- -
1 - r-
-- - -,
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,
applicant certifies by signing this permit that 1) this pro-
li 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.
N ,.
applicant's signature
/ permit officer's signature
-
37
issuing date expiration date
attachments % � � � P
In issuing this permit the State of North Carolina certifies that (�� 0G Jy y� y q
this project is consistent with the North Carolina Coastal application fee r/ 1
Management Program.
4-

..... .......
HAROLD F. BEAR 2 -30JS31 4149
rr,4 '9 f2-ff
CRESTON, NC 28615
PAY TOTHE
ORDER OF
00 LLARS
114leC I T 17 �EN �S; env
BANKFla C111—i Bca & J,.j coffpmy
W-st Affelson, NC 25694
04
11:0 S 3100 3001:6139 70 138 L Elio I.'jj'cj
............

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
(N �eof Property Ownerj Property located at
4 e 4-14���-�5 SORB,
�Q (Lot, Block, Road, etc.
n � N.C.
(Waterbody (Town nd/or County)
He has described to me, as shown below, the devel7Pment
proposing at that location, and, I have no objections tohhis
s proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To Ibe filled in by individual proposing development)
cy-
Sigature
131� Q-S, �. Print or Type Name
Ao� (�/ 6?7
Telephone Number
[T. p,
' MAY 211994

.
ADJACP.NT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
S �cyt `i3 's property located at
(N a of Property Owner)
L t, Block, Road.' etc.)
on br§N-k-b cZ, in , N. C.
(Waterbody) (To 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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
I
v
►W
ig ature
�o E - d
o� Prin or Typ6-14ame
Telephone Number
9
Qe
MAY 1 1994
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