17064_WEAVER, HAZEL_19970516

CAMA AND DREDGE AND FILL ,
GENERAL �$�
PERMIT 4..��
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 Named -P ' ° �' Phone Number
Address '► 1 1 y� _r �"
City 7 cL ii State / zip v` 1
Project Location (County, State Road, Water Body, etc.) "' —° -x s ; / f'r�'„ `;J
Type of Project Activity
PROJECT DESCRIPTION SKETCH
d'
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
a
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This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any
ti 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.
(SCALE:
T1
applicant's signature
permit officer's signature
97 9-/f- i%
issuing date expiration date
attachments r'If Lam/ ► C
T
J.
application ee

Hazel Weaver �'j,C', oQ,t"&Z-a- L4l�66-30/531 1009
[phone] 342
234 Hill St ,�
Swansboro, NC 28584 DATES __.___
PAY TO THE ! r
ORDER OF t
17
_ DOLLARS
uLook cro Pr re e. pe and linnvork, First Citizens Bank logo on back. If not present, do not cash.
IT ENS 342 Sli#Q0
First -CM ns Bank & Trust Company
Czapa C rtarat, N.C. U.I.,
,..���.
FOR N v �'�'� �
i:053L0030 a 4L76533LIIIS0L 9

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIA100RING PILINGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to vg�qve-7Z 's
(Name of Property Owner)
property located at 23�1 lW4t Si-KII-T CoDAT1- AC ,
(Lot, Block, Road, etc.)
on potNT in C,4?TC-Y1CT �v � ^�� , 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/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 DRANVLYG OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
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Signatur
Print or Type Name
Telephone Number
Date:

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIA100RING PILINGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to f/AZCL is
(Name of Property Owner)
property located at 2351 N//-G Si/2 T 5w4ds4b^ tCA4T�ET &OV7-1) NC ,
(Lot, Block, Road, etc.) 11
on 410✓, C PA-2 , in Cf+97-&--26-7- 6m,W-/ , 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/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 AN�'D/OR DRA«TiG OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
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ab HI&I To CHANNaZ. CQ,16-
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Io 3oRT�.-I F?'
I .30' Mia .
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Signature
Print or Type Name
7
C. G- C (-
Telephone Number
Date: U- —