HomeMy WebLinkAbout14587_FLOWERS, L.E._19950516O
CAMA AND DREDGE AND FILL
GENERAL tt g'" 14587
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 15A NCAC
Applicant Name•
Address
City
Project Location (County, State Road, Water (Bf,ody, etc.)
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Type of Project Activity
State flellll�
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Phone Number
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zip
PROJECT DESCRIPTION
.. (dock)
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Now
MEN
Groin length
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ME
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numbe■
BulkWead
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max. distance.
■rage■■Mims■■■■
Basin channel dimensions
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cubic yards
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Boat -ramp dimensions
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Other-
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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.
/issuing date expiration date
attachments A� / f /l // 0
v
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
WACHOVIA
Official Check
'ITorepf,(faCetGisOficSalCh4¢k(bt-a?U't4ayo4SYill[equh'�Ph,
tnilf>,O�l,tf Agreament of a 8(i[i�
: s
5-fi6 95
14QQ782236
Date:
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Pay To The
Order Of * DFHNR
*
- - $ 50.00
Wacltyvia BAnk Qf Nurth Carulina,NA. R nigh, NC 276 -7$86 AuUu
11'1000?13223611' 1:0531076331:016 60 99800211■
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
I hereby certify that •I own property adjacent to
3 's property
Name
located at % on
(Lot, Block, Road, IIetc.)
in h m XC
0 N.C.
(Water Body) '.(T wn and/c& 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. I understand that a pier must be set back a minimum
distance of fifteen feet (151) from my area of riparian access
unless waived key me.
do not wish to waive that setback requirement.
I do wish to waive that setback requirement.
Description and/or drawing of proposed development: (TO BE
FILLED IN BY INDIVIDUAL PROPOSING DEVELOPIM4T)
Ps
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IrA
Print or Type Name
� Telephone Number
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• . dame s property . • '' '
ooated at Mr'• t ,on _
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(Water Body) •( own and/or County
e bar, desoribed to me as shown below the 'development• ho, is
roposing at that location and I have no objeotions. to' hie .
roposal. I understand that a pier rnust be set back a ,rninimurci'
istance of fifteen feet (151) from my area of riparian �acoess
nless mived by me.
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I do not wish to waive t la t t setUac}: requirement.
- -YL""' I do wis}l to waive that setl)aO. requirement.
Description and/or draOng of proposed development : (TO 13H
FILLED IN 13Y ItiDIVIDUAL PRopositia DL,%MPMMTT)
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Phone Number
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