13199_DONKMYERS, MARY_19940921

CAMA AND DREDGE AND FILL
GENERAL /V�Q�� P
PERMIT All,
as authorized by the State of North Carolina `� V
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC
Applicant Name -7 �f ' — -7 � Phone Number
Address
City . `�' t ` .jam State f Zip
Project Location (County, State Road, Water Body,+etc.)
Type of Project Activity
.4 `J
PROJECT DESCRIPTION
Pier (dock) length
SKETCH i�j� u S-/ A�-J'
�(SCALE:
)
I
Groin length
I
I
n o
number
Bulkhead length
t7
i
6,
19
d
G
ax.,distance offshore
Basin, channel dimensions_
j
—i.
—'
I
cubic yards
Boat ramp dimensions
Other
�—
id
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 -
*is consistent with the local land use plan and all local
,nances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
objections to the proposed work.
4.t,t J applicant's signature
permit officer's signature
issuing date expiration date
attachments / `� - A C_ 7 /_/ P 111 1�1
In issuing this permit the State of North Carolina certifies that �, ��
this project is consistent with the North Carolina Coastal application fee �' t ,
Management Program.

777
MARY S. DANKMYER 11-86
=465
19 /_� 5t0
TO THE ORDER OF ,
ildelIt
Central National Banky
IidQII Falls Chyzch_Vir9i`i13199
i:05 1000 2531: ?91911..0 21011' 0? ?

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
r-4 u (- C is property located at
(Name of Property Owner
76b HAI?Gb01A 7 �1)n. S /<<�"�H CT ,
(Lot, Block, Road, etc.)
onNFulk PoFA ,in ,NC
(Waterbody) (Town d\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)
c
Print or Type Name
Telephone Number

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
I hereby certify that -I own property adjacent to
l`hu, a- C- -"]"t w<<u� -�- 's ro ert
Name
located at 1900
P P y
, on
(Lot, Block, Road, etc.)
�JEvd m 'jrt- in Ct2� , N.C.
(Water Body) (Town and/or County)
Fie 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 tca-,n/gr drawing of proposed development: (TO BE
FILLED IN BY INDPROPOSING DEVELOPMENT)
Alz
i
L,.' t> -
A
ure
""�54—/—
Name
6� - Phone Number

9-�!-��
�� �

f%
yi�I�,Gi

�.nit k,%
44�,w v.
41.

l R
R
01 1
l l � 4 1, •' � 1" , 1 � i�
Y 11
1 M
t 44hI', ; �

iv'.
' Y
14
i �
Ilk

�� +
�+r '+.
,� � f
► h
� '}� U4
,,� � ��
.! � �� � + ;
i; .� �;
.� w
,� ,
S � S�'.
` � ��� fi
t'
,.
6

r.
r»
�! 2 "�► "
f
]I' . r �
11" � .. y�'�:
. i�l
--� - 1
�;
;" ;�, � : ,
� s
1 je
1. �•
f
C
�,
�r'�y� `jam• �
�. � .. � ' a =:.tt