14830_COMPEN, ELLEN_19950831

CAMA AND DREDGE AND FILL
GENERAL
PERMIT ffV Pff - 3
as authorized by the State of North Carolina P col
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
inanarea of environmental concern pursuant to 15A NCAC oq°,!
Applicant Name7f n �`�''�� Phone Number
Address•�.'r'�
City �r State. Ak_ zip s(
Project Location (County, State RpJad, Water Body, etc.) , / r 7 �-
Clrira '':.r'r i tic pd >'" �Tf' F'%ih A r ` M• l
Type of Project Activity 962 rx XcJY40-af r? /
i') /I,20 % ti 0— 1 _
/,c_.. Ful Di ,a e-_S
PROJECT DESCRIPTION
Pier (dock) length
SKETCH
(SCALE: )
i
190
Groin length
number
Bulkhead length
;
i
max. distance offshore
1
I
}
Basin, channel dimensionsIF
,VolVS
I
I
f:%t2 LiLA1'N'�C9
y
d•I+Y�I ' i1E�/, �
cubic yards
,
Boat ramp dimensions
Other
i
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.
applicant's signature
permit officer's signature
r issuing date expiration date
attachments "
application fee

PAY
TO TH E
QBkE R O F.
MRS. D. JEAN BOHANNON
NCDL 2696156
509 GABLEFIELD LN.
APEX, NC 27502
2876
66-112/531
19�
i
BDOLLARS
X. NO C
FO o,R .� P.R. IIIII
P :RTH Cq l-'I A 27502 "
1 . _ Lr
II■0000 28 76u■ 1:0 5 3 10 1128
a-- - -T 1 2 1 r. 5 1 2 5 Slim

ADJACENT RIPARIAN PROPERTY OWNER STATEAMNT
(FOR A PUIERIUNCOVERED BOAT LIFT)
sClal �anrus
I hereby certify that I own property adjacent to
(Name of Property Owner)
property located at
(Lot, ock, Road, etc.)
5, !/ . .
on ?4, in d — ,��` , N.C.
(Wute body) (o n d/or Cou ty)
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/uncovered boat lift';r;`
must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless."`
waived by me. r.
I do no wish to waive the setback requirement.
I do wish to waive that setback requirement.
t
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
•j
A-,- 91/1 C -t
,A/,, sAPA�k
V6I /U-/� 5 koz h.
Tom►
-7'z 8- 30S I
N e"o
Print or Type Name
Telephi
Date: