HomeMy WebLinkAbout19963_GORDON, DOUG_19980722Y
CAMA AND DREDGE AND FILL
GENERAL
C
/V 1 l o 49
PERMIT fit'�
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 A fJ ,0 � a' c �,., .:• r
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION I SKETCH E Uj P
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
c. "4.a
a
i
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.
State
Phone Number tg
Zip
(SCALE:
r
1
h cl t
dL.
applicant's signature
permit officer's signature
issuing date expiration date
attachments / d' r ! / r
rl �7
application fee
66-112 2333
OSPREY MARINE CONSTRUCTION ss1
2773 HWY. 70 BFT. PH. 919-728-4980 51106912 BEAUFORT, NC 28516 DATE % J v ? /
/ J
PAY TO THE
ORDER OF !ll���--- ! / $ l v/ c)
O �!� u, w. sle,,
02301 BB&T
4406 ARENDELL STREET i
MQREH AD CITY, NCy.�28(5�`5-,7l ( �
MEMO (l�lli�1 tt -I s- ��i,�^ Np
TGIAM-019 '
�:053 LL2L�:5�L09�+6 L2il' 2333
TOWN OF ATLANTIC BEACH
125 WEST FORT MACON ROAD. P.O. BOX 10. ATLANTIC BEACH. NC 28512
(91 9) 726-2 1 21
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjoining Jos.,,'s
property located ata'-'3S od Gda s «, f,.s He has described to me as
shown below, the development he is proposiiqg,at that location and I have no
objections to his proposal.
Description and/or drawing of proposed development: (to be filled in by
individual proposing development.)
s gnat e
name
phone number
ADJACENT R 1 PAR 1 RN PROPERTY OWNER STATEMENT
I FOR R PIER/MOORING PILINGS/BOAT LIFT/BORTcUSE c11,
17)f)`('0
HEREBY CERTIFY THRT I OWN PROPERTY ROJRCENTTO
[NRME Of OPERTY/OWNER]
PROPERTY LOCATED RT � < L�-) (1- \� C 1-, 2. �
[LOT,BLOCK,RORD,ECT.]
He has described to me, as shown below, the development he is
proposing at that location, and , I have no objection to his proposal.
I understand that a pier/mooring pilings./boat lift/boathouse must
be set back a minimum distance of fifteen feet [15"1 from my area
of riparian access unless waved by me.
I do not wish to wave the setback requirement.
I do wish to wave that setback requirement.
DESCRIPTION RNO/OR DRAWING OF PROPOSED DEUELOPMENT
[To be filled in by individual proposing deuelopmentl
S 16NRTURE: `JV +'\'
PR I NT OR TYPE NRME:
TELEPHONE NUMBER: � 2 �
ORTE:"-)/ Lf — % 91*
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