13912_HOLLAR, ROBERT_19950404

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CAMA JND DREDGE AND FILL ✓/ 9
GENERAL -� �' " c �B P
PERMIT pip
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 h ! h Phone Number
Address
City / State A Zip
Project Location (County, State Road, Water Body, etc.) C l' .j
Type of Project Activity' -
�%/'• y.� �[.. ��: / .� 6/ '� ,,•. .*y;- ! /1' /mot.
PROJECT DESCRIPTION
Pier (dock) length
SKETCH
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JLL ¢`
1,7
(SCALE;
Of
)
Groin length, —
Mf
L
+
number
Bulkhead length
i
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max. distance offshore
+
Basin, channel dimensions
—�
cubic yards
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Boat ramp dimensions
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; I
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.
issuing date
attachments
applicant's signature
permit otticer's signature
expiration date
application fee

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
I hereby certify that -I own property adjacent to
-1� o1r1=i2I tie) 4-k141Z 's property
Name
located at ko T 0 • 13'aCtc Cells -K-- on
(Lot, Block, Road, etc.)
in I3 F.4jj oKl C14 ! J , 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 and/or drawing of proposed development: (TO BE
FILLED IN BY INDIVIDUAL PROPOSING DEVELOPMENT)
k
a,
S' nature w /�
Name
Phone Number

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A WEYERHAEUSER COMMUNITY

^ hi-reby' certify that •I own property adjacent to
C`• �L� �s property
Name
located atQ �' ���� �,�'� , on
(Lot,, Block, Road, etc.)
n � off.- � ._ C.. I� �, -�--� N.C.
(Water Body) (Tcwn and/or Count•) •
He has described to one 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 1 �.fteen feet. (151) from riy area of riparian access
unless waived by me.
_ I do not wish to waive that s _t'oack requirement.
I do wish to waive that setback requirement.
Deswr;,pt:ion and/or drawing of p4.roposed development : (i'i7 13.
I IN BY INDIVIDUAL PROPOSING DM=PKENT)
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Phone Number

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