HomeMy WebLinkAbout17043_WAGNER JR, KENNETH C_19970407C
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CAMA AND DREDGE AND FILL
GENERAL
PERMIT
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 w/ 0106}"'
Applicant Name 4--Z ' � �, 1.�� , % . Phone Number ._ �- G'i�KV
Address ! �' �' -74 14`L?
City ,:vt State A)C Zip 8,5 %4
Project Location (County, State Road, Water Body, etc.) ��'�� f
J J , , / �� —'r—
` 017043
CIO
Type of Project Activity
PROJECT DESCRIPTION I SKETCH
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
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,
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.
f
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s
A
permit officer's signature
issuing date expiration date
attachments
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
application fee.414
MR. OR7MgR s6 Ko EgoNNETH C. WAGNER, JR. 2023
501 SOMERSET WAY 919-247-0964
NEWPORT, NC 28570 -i 66-25/53
19g �
Pay to
the order of�'��
NationsBank, N.A.
Carolinas ; #e /70u3 C
For-:fflw�
.0 5 3 L00 2 58P: 3 L 3 2 5 288 4um 20 2
(9 G
Dollars j_;�aw,
ADJACENT RIPARIAN PROPERTY OWNER STA
(FOR A PIERIUNCOVERED BOAT LIFT)
I hereby certify that I own property adjacent to Ke.v%A Q,4- OLI Ap �r s
(Name of Propert caner)
property located at 5l S /nor e ke&tk - A ✓ e A
(Lot, Block, Road, etc.)
on Moonl�I.�'i , in 44 �a,,.�?C �c�c,. 1-1 N.C.
aterbody) (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.
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DESCRIPTION AaND/OR DRAWL'�1G OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
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Signature
VJ00A1a,� '5�u,o►n
Print or Type Name
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Telephone Number
Date: �nr; I ►-1 M97
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ADJACENT RIPA.R AN PROPERTY OWNER STATEWEENT
(FOR A PIERIUNCOVERED BOAT LIFT)
I hereby certify that I own property adjacent to Ktv%A q` L , W ai A tr 's
(Name of Propert caner)
property located at 51 S /rJor e A e yt
(I.ot, Block, Road, etc.)
on Doe, l tCkE- , in %� -� a„��?C_ �c� L , N. C.
(Wafer -body) (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.
V/ I do wish to waive that setback requirement.
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DESCRIPTION AND/OR DRAWL'�1G OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
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Signature
H; li-oN
Print or Type Name
I IcL- 2'{7- 31o1
Telephone Number
Date: