18400_TAYLOR, PHILLIP_19970806

j� ' CAMA AND DREDGE AND FILL
GENERAL S �,,� 1 N 0 018400
PERMIT,�L IF aL E
s authorized b the t f NorthCarolina' y S ate o
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC 7 — j ;? ') (_'
4�-/o E/ % c-7/I ,-f Q
Applicant Name &I ) T cf t, -i Phone Number
Address 7 e 7 FjL�.'h -J1 ?
City �ry�(�Cr V lnr State %� L zip S ��
Project Loca on (County, State Road, Water Body, etc.)I j 7C 7
Ty�%e f Project Activity �►` '= l iA I
C� t1' � 1 t/' L � � � � •�. ' , �c r' f,• � —P X- I � �'- � T l' ;�- �' ✓'j, � Lc��l— t' .� � � i > �
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PROJECT DESCRIPTION
SKETCH I l A (SCALE: �� )
� � '�
Pier (dock) length
•%(/
� �
Groin length
_ /—
Q 6 ` % l 'C, f
`��t(
number
Bulkhead length
max. distance offshore
p�--j �•�
I I � S
,r ��, Lt ..� '►
�
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
l k`
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.
applicant's signature
permit officer's signature
'
issuing date expiration date
attachments ` 7' '
application ee

4:05310h5291: 5464 LI?L3Silo L 3 3 0
NARLAND 199' -

ADJACENT RIPARIAN PROPERTY OWNER STATMENT
(FOR A PIER/UNCOVERED BOAT LIFI)
I hereby certify that I own property adjacent to `� 1 ` �0,2 's
(Name of Property Owner)
property located at ► '-I O 1 F fi
(Lot, Block, Road, etc.)
on 4 �.� l cizs C r - ,z , in f o u�C� �•� , N.C.
(Waterbody) (Town and/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/uncovered boat lift
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)
Print or Type N
�'I,F-1w- 56 51
Telephone Number
Date: rj' `

ADJACENT RIPARIAN PROPERTY OWNER STATFAEENT
(FOR A PIER/UNCOVERED BOAT LIFT)
I hereby certify that I own property adjacent to �� �,,2 ,s
(Name Iof Property Owner)
property located at \ -1 c " t= ' S t .
(L,ot, Block, Road, etc.)
on a ti 1 r� z� C� e EYE Jnr.�� o� , N.C.
(Waterbody) (Town and/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/uncovered boat lift
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 JWed in by individual proposing development)
/Kgnature J
Mt M/��"%�
Print or type Name
�> 1 2.2 2-
Telephone Number
Date: If - 3 - 17-7

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pfs
66

State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Coastal Management
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
Roger N. Schecter, Director
August 7, 1997
Elton W. Ellis, Jr.
P.O. Box 691
Atlantic Beach, NC 28512
Dear Mr. Ellis:
�EHNR
Attached is General Permit #C-18400 to install boat lifts as described on enclosed permit.
In order to validate this permit, please sign all three (3) copies as indicated. Retain the
white copy for your files and return the yellow and pink signed copies to us in the enclosed, self-
addressed envelope.
Your early attention to this matter would be appreciated.
Sincerely,
Charles O. Pigott
Field Representative
COP/mh
Enclosures
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