HomeMy WebLinkAbout14775_LINTON, JESSE_19950811CAMA AND DREDGE AND FILL �4
GENERAL
775
PERMIT��
as authorized by the State of North Carolina r01�
Department of Environment, Health, and Natural Resources and the Coastal Resources Amtion 1\
in an area of environmental concern pursuant to 15A NCAC
Applicant Name r '- Phone Number
Address
City &mi' u_ g,, /' T State .'f1, C_: Zip 7 Y 5
Project Location (County, StaLe. Road, Water Body, etc. ca t
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Type of Project Activity6 PLO r4 e't �f Ga f Z '
— Of —
PROJECT DESCRIPTION SKETCH r ) C 0, e- S CALF:
Pier (dock) length
77
Groin length
a
number !
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Bulkhead length
max. distance offshore @ { I
Basin, channel dimensions
cubic yards I — ��— —
Boat ramp dimensions—
Otheri — � c
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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' n applicant's signature
null and void. /. 7
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
Mana ement Program
r
permit officer's signature
issuing date
attachments
application fee
expiration date
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JESSE W. LINTON 66-85/531 1017
NCDL 134088 PH. 919-728-1456
822 SEAGATE DR. g l�
NEWPORT, NC 28570 Q 19 Ly
PAY TO THE J /
ORDER OF IV / I►ri ' / I �����///DC
DOLLARS
Centura BkM
Morehead City, NC 28557
MEMO
i:0 5 3 1008 501:0 28 3004 36 10 1 7
P 020 044 097
Receipt for
Certified Mail
No insurance Coverage Provided
Do not use for International Mail
(See Reverse)
Sent t9ri, /1 . / . /
P.O., State and ZIP Code
P stage
Certified Fee
Special 9d ed
Res t o Delfv j t
Re rn Receipt 61� g
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to horn & Dat�'fl �ered
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Ret Receipt to Wh
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Date, d Addressee's Addre
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TOTAL e
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& Fees $
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Postmark qr Date
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**** U.S. POSTAL SERVICE ****
MOREHEAD Cy 557 28557
365, 2ii 26.00
S. WILLIS # 04
07-28-95 O8:36:35
CUSTOMER RECEIPT
109 POST VAL IMP
2.52
TOTAL 2.52
CAS14 T 5.00
CHANGE 2.48
*** THANK YOU ***
SENDER:
H • Complete items 1 and/or 2 for additional services.
• Complete items 3, and 4a & b.
I also wish to receive the
following services (for an extra
�! • Print your name and address on the reverse of this form so that we can fee):
m return this card to you.
m • Attach this form to the front of the mailpiece, or on the back if space 1. ❑ Addressee's Address
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does not permit.
t • Write "Return Receipt Requested" on the mailpiece below the article number. 2. ❑ Restricted Delivery
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C• The Return Receipt will show to whom the article was delivered and the date Consult postmaster for fee.
G delivered.
3. Article Addressed to:
4a�Article Number �I
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c0i1_ertifi`cj
4b. Service Type
El Registered ❑Insured
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6. Signature (Agent) ti
� PS Form 3811, December 1991 *,U.S.GPO:1993-352-714 DOMESTIC RETURN RECEIPT
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to — -- 6 _ , " -, 's
(Name of Property Owner)
property located at � 5��� e�� eg�_ d6� ,
(Lot, Block, Road, etc.)
on ' -'�'� , in �' , N.C.
(Waterbody) own a d/or 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/mooring
pilings/boatlift/boathouse 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 the 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)
A
Signature r
4�Q 7D 4J,6,J
Print or Type Name
1z� �)J /
Telephone Number / i .
Date: I-)
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