18758_ARNOLD, CARTER_19971009

CAMA AND DREDGE AND FILL Q;:� 5rs[
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
Applicant Name'. _
Address
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
Phone Number
State Zip
PROJECT DESCRIPTION SKETCH �—� j i — 7-A4el ..( rI `(SCALE: / )
Pier (dock) length
f Lf �V(i
Groin length } 1 ffrr .0
,
number `( 4�.k; C7 LtJI LC I j ► mil Cal! ! L�� (,� (L) 2ti ivi �,�f
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
{i
old
li \�
r
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, a '�"'
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's signature
permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that 1) this pro- %!) %' C,
ject is consistent with the local land use plan and all local —� issuing date expiration date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee
Management Program.

! '
Permittee I s Name ('K A� J`
,:-,ocation:
Phone:
Description of Project:
Date Project Reportedly
(1) Do the measured dimensions of the developm iffer from those
indicated in the permit .and w5 plat? Yes / No Have all permit
conditions been satisfied? 4 S No
1. COMMENT:
,r
(2) Sedimentation and Erosion Control: Has ,permi e seeded, grassed,
or otherwise stabilized all disturbed areas: s / No
COI��.NT
(3) Future Monitoring and Tnforcement Act' Is'further investigation
or enforcement action needed? Yes /'
COMMENT:

31
EROSION CONTROL SPECIALISTS 66-30/133 2828
ATLANTIC BEACH CAUSEWAY NCDL 8039839
P O BOX 3355 PH 919-726-2191 q
ATLANTIC BEACH, NC 28512 _/__
PAY TO THE
ORDER OF f'T fJ
x�
- - - -- -
-DOLLARS M=
OPO i0b
T CITIZENS
BANKA11810C eacBank. 851 ccmPenr
Atlentic Beach, N.C. 28512
FOR
1:0531003001: 13 12 1413535ii'0 28 28
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
I) �, 12zg 3<v 2-
V!/(�,�i �� ,Q,g�oL-0 ' s property
located at -SEMV: D4-�1-16C&46-10 04W6,k)M( on
(Lot, Block, Road, etc.)
'K 0 in �b f�QCJ �J� N.C.
(Water Body) (Town and/or County)
He has described to me as indicated below the development
he is proposing at that location and I have no objections
to his proposal. I understand that a pier, pilings and
dredging must be set back a minumum distance of fifteen feet
(15') from my area of riparian access unless waived by me.
M
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.)
r,Azae��rc�rr �i= D� PEfr�ro,�.er�t�
As��ns s'�+wAc� wr <<-► v��y� ��A�1gL� �����cs
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Dat
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Signature
2AC01 '1�1-
Print Name
77 `7�
hone Number
of
►N

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
Is property
located atZA17beF146-10 on
,,fi��//;�,J� (Lot, Block, Road, etc.)
006"10 in � �% rJ� i , N. C.
(Water Body) (Town and/or County)
He has described to me as indicated below the development
he is proposing at that location and I have no objections
to his proposal. I understand that a pier, pilings and
dredging must be set back a minumum 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.)
,D7J
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osV-�ALJAu-
_e _
Signature
_M c� r we it ;.J ��rz;4,•�zr
�j Print Name
50 `f - Sty ` 4 4
Date Phone Number

f
4`�
Location: 4Field Rep.
Phone: Date of Feoort:
Description of Project:�
Date Project F eportedly Comz-fftte :
(1)Do the neasured dimensions cf the deVElGpme "iffer from those
indicated in the permit .and w kplat?. YEs / o Fave all permit
conditions been satisfied? Yes / No '
COUNT : '
(2)
SEz-ime :tati on and Frgsi Gn 1-r H-aor CL_^_Er"w i sa s l- z i 1 i Zef all G1s turLEf arE=s :
j
1j 7 :
cras�z --:t
( ) Future MCni torinc and Qnforcement- P_ct_ i Tsrf�i.._r_�___Er
n: _ i nVcsti Qati OP.
Or ErifOrCewiEllt aCti on needed? Ye_ / o
CO2�Ni•