14800_CHAPMAN, JOE_19950829

CAMA AND DREDGE AND FILL
GENERAL
PERMIT
4 9,M1
14800
2� ro
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and Vae Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC
Applicant Name Phone Number I- ! 4 25 d J �' 7
Address
City tt % , ; State %ti.'�L — zip --
Project Location (County, State Road, Water Body. etc.) e,7 a -p-, fZ ___e4 61,
�.: C t!'J j {•� k Cry -s �* ,� 5- '� // tit . ' f..
Type o//__f Projje/ct Activf i�y a f '�, �.;,. 4 :r . �1 /�j aria l Ski ` '1 C /� �i r Jn -``� �,,�J M� ��
/ C/Ll f!�-h-a- / �l, d%,7 .yr 9 r� �( 6'lii <-caY![ r:i th � !
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PROJECT DESCRIPTION SKETCH !,� - GG� �� (SCALE: ,
.w�
Pier (dock) lengthdP��
(�� o !
Groin length _it
hth kA'I 1 1171 I 1 1 1 1 1 1 1 i
number V 7 I s
Bulkhead length R; I
max. distance offshore
WW T
Basin, channel dimensions
cubic yards `
Boat ramp dimensions
Other., f
�► I j 1 l 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.
I!�
applica
s signature
(/ permit officer's signature
issuing date expiration date
attachments i/dJ % f n Y- ! �� (.
application fee

JOE A. CHAPMAN DL 2010464 5 815
RUBY C. CHAPMAN DL 2569668 qq
808 BENNINGTON DR. 847-6539 __ �___ 19 -/ — 66-1040/531
RALEIGH, NC 27615 -
30001
PAY TO THE $
ORDER OF
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ADJACRNT RIrARTAN PRorERTY OWNER
STATEMENT (FOR A PIRR)
I hereby certify thnt I/Own property adjacent to
M 1-^1A/'M,r-1 , A property
located at LaTs S+J LOCk �6
SE�to�1 TS, on
~�—�Lot�, Blotk, Road, etc. )
In `l �RTE.C. ET ,ANT N . C .
�� afar od own nn /or CountT
He has described to me as shown below the dovelopment
he to proposing at that lucstion end I have no objections ,I
to his proposal. I understand that a pier must be set
back n minimum distance of fifteen feet (151) from my
erne of riparian access unless waived by me.
I do not wish to wdire that setback requirement•
I do wish to waive that setback requirement.
�gnat-ure
Name c�
Phone mum at
�Y J
�al,

TI 0
ADJACENT RIPARIAN PROPERTY OWNER
STATEMENT (FOR A PIER)
I hereby certify that I own property Adjacent to
a p r o p e r t y
located at LOTS 3 LOGIC to ! S on
iLol�, Block, RoAd, etc,)
� in N.C.
star-4 6odY own
and/or County)
Ile 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 n minimum distance of fifteen feet (15') fron my
area of riparian nccema unless waived by me.
iX _ 1 do not wish to waive that setback requirement.
I do wish to waive that setback requirement.
, 6JI"r
1gnatur
Name Y, Yd
2
Phone number