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CAMA AND DREDGE AND FILL
GENERAL " a 01784
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 -r'7t"'�'��' r= Phone Number
Address 1`'•+fi4Y 7
City State Zip
Project Location (County, State Road, Water Body, etc.) dm
Type of Project Activity / �y• ,r +.: ct �.t - i. /. r . r-,
Jd t A ;ism 1 ? U ra
PROJECT DESCRIPTION
SKETCH (SCALE:
Pier (dock) length
f
Groin length
/ "• a- ?� i / t
'r ,ONt moI
l
number
Bulkhead length
pj, , JS'c . , Cs,-. ,: li:, — n' ,.f% -A
J
j /. 1. ,/ l e ;r K. lC` r' 'J 3
/A'r 1u F .3: Al• r' at�:'r ; . ? � .'� .fit
;
max. distance offshore
Basin cbamiel dimensions
>
j i r.. e, .� r p• f C� +�C�S �y ?7 fi„
cubic yards
/ f .,.'�dr r... c_Pef
Boat ramp dimensions
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�,6:�"N,.,. •. 'fl t r I rtl srr , mac,
•r
Other
#y fr h vY't � it � +� � .ry=� w ✓.+� h� fC`o. � '�iw r • � 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.
_ apblicant's signature
3�•
permit officer's signature
c 7 y 7,
issuing date expiration date
attachments
In issuing this permit the State of North Carolina certifies that u r�/ 2y
this project is consistent with the North Carolina Coastal application fee
Management Program.
8922
ANCHORAGE MARINA, INC.
726-4423
P. 0. BOX 7
ATLANTIC BEACH, NC 28512 66-85
r �C2 531 6 �% DATE _(n
TO THE
PAY
ORDER OF��
-DOLLARS 8«
Centura Banks.
Morehead City, NC M57
FOR ESP O17�' C - - - ----------- IVP
11600008 9 2 211' 1:0 5 3 L008 501:0 28 2000 70 211'
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
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I hereby certify that I own property adjacent to
's property
located at Ml coa/ on
�_ (Lot, Block, Road, etc.)
& o6 '96ow % in iAy-klT1e e96AeH N.C.
(Water Body) (Town and/or County) Z e V z-
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.)
MAi4T,cg4AJeE -OF 13oA-r- Sri oP 4Z645 "A" k .6'.
eE "A" - /G ' X Z 30 - '06WJOaINaj 9' 016vTH OP S:�oi�s - TdraL yio Cu. Yds
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Date
oFFICE�/
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Phone Number
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
-7ZG -41zlZ3
��L!�f �' n:.�GL�',��%1/GI�•Ild�/�1��il�lZ�L: F.�`i�LT
(Lot, Block,Road,
is property
on
39 C S'00WO in LAZC.t1 AJ'I-lC ' EL1 CH , N . C.
(Water Body) (Town and/or County) 2 eV z-
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.)
N*-QTE,V44JC6- of t3C'A-r VLOJO Ae645 "A"k
2E -A" - /6 ' X Z 30 - l'6lnnv• �g 3' ",erH '00 V^t4.5 - 'TarA4- yio rr,. Yds
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ate
Signature
V-A/AP- e -P. s
Print Name
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Phone Number