HomeMy WebLinkAbout13973_GOLD, WA._19950208CAMA AND DREDGE AND FILL
GENERAL
PERMIT
P
as authorized by the State of North Carolina
! Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
i in an area of environmental concern pursuant to 15A NCAC if. l ZCC`
Applicant Name Phone Number
Address
City State Zip
Project Location (County, State Road, Water Body, etc.)
r>
Type of Project Activity
PROJECT DESCRIPTION
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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SKETCH (SCALE:�,,�� )
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.
i
applicant's signature
permit officer's signature
issuing date
j attachments �! i e f c-
cc
expiration date
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
application fee S' s' ��
/
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W. A. GOLD 66-1521531 CC 3142
ANN J. GOLD
NCDL 2141649 PH 522-2729
1907 STANTON RD Z ——
KINSTON, NC 28501
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llav To The /
Order Off %A.�3/, 1-s
WA`
Wachovia Bank of North Carolina, N.A.
Kin"wn, NC 2855011
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1:05310IS 291: 4478 36591S"' L4 2
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, • . «�, • • . • •.• • DI• • ICI• Y � I�
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I hereby certify that I own property adjacent to
i- (XOLD
of Property Owner)
1 5 o 2 PRo
''s property located at
(Lot, block, Road, etc.)
on IA Y L 02- C. 2.EE-iC in p v r i2 IC.,1412T�/Z� Co, , N.C.
(Waterbody) (Town and/oe County)
The applicant has described to me, as shown below, the development
proposed at the above location. I understand that any construction,
excluding bulkheads, must be set back a minimum distance of fifteen feet
(15') from my area of riparian access unless waived by me.
I have no objection to the project as proposed but do not wish to
ive the (15') setback requirement.
Zi have no objection ection to the project ect as proposed and do wish to waive
J P J P Po _
the (15') setback requirement.
I object to the project as proposed.
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DESCRIPTION AND/OR DRAWING OF PROPOSED DEVEL,ORTNEi'T:
(To be filled in by individual proposing development)
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Print or Type Naftid
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Telephone bhznber
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Signature
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Date
PiluL-
?VLLOr
PR -Peary
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I hereby certify that I own property adjacent to
W. A--. G 0 L- D 's property located at
(Name of Property Owner)
I S o 2y,.6T STF-ELT
(Lot, $lock, Road, etc.)
on ' 1 A Y L o 5 C 2 IC in B E-A L) r-u 12 /C,4 eTE-(Z.E-Co. , N . C .
(Waterboay) (Town and/o (ounty)
The applicant has described to me, as Shawn below, the development
proposed at the above location. I understand that any construction,
excluding bulkheads, must be set back a mdnimum distance of fifteen feet
(15') fram my area of riparian access unless waived by me.
I have no objection to the project as pr`posedd but do not wish to
ive the (15') setback requirement. J,�iw/K `
ao �
I have no objection to the project as proposed and do wish to waive
the (15') setback requirement.
I object to the project as proposed.
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DESCRIPTION AND/OR DRAWING OF PROPOSED DEVEIAP:S�TI':
(To be filled in by individual proposing development)
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Print or Name
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Te 1 ephone Nxrnber
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Signature
Date
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