17074_TOWN OF ATLANTIC BEACH_19970423

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CAMA AND DREDGE AND FILL
GENERAL 017074 r
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�>� � e>f �7 Lil�f/ � � e, Phone Number
Address
City ��j 71'r 1t State C. Zip 2'C'�
rr
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity �' n > nt h r/i,;r c ,; W"S
PROJECT DESCRIPTION I SKETCH
Pier (dock) length
(SCALE:
Groin length ;
C �� / C-
number � o­ /s7 4� GP61
Bulkhead length •/ I c '
JLA
max. distance offshore
7.
Basin channel dimensions
cubic yards i�7: ; /S
% cJ! ' 1/-C// /i • /l��r,� .( / �/ � JU >> I rl �(.�iGSrG') 1 .�"•'c`�.r• r_. t
/i? d/ ,i / �
Boat ramp dimensions .,,/
,� E -' �. iJ�"%. L � ? R %tee •'u.� / � � j /Q/� % </c/C� �t! S /C-''r'
Other
r/[ i -I_'d �' r 3- 9E .
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.
applicant's signature
T permit officer's signature
23- -77 3- ci7
issuing date expiration date
attachments n 7// /,ri)0
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
application feed

EROSION CONTROL SPECIALISTS
ATLANTIC BEACH CAUSEWAY NCDL 8039839
P O BOX 3355 PH 919-726-2191
ATLANTIC BEACH, NC 28512
66-30/531
133
A44J--A3j 97%
2585
PAY TO THE 614 ��• K�
ORDE F ' 7- --- - - --
D D0LLARSC�
/�/ FIRST CITIZENS
F T �j7j Flr_11c lzeac , N.C.2851 COm0e0y '
LK7H—"1 r (� Alla011e Beach, N.20512
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FOR V-IV- -
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
AT
1 7Z(o • Z � 2 l
0Wr J oV ATz,,41-fnC � eN 's property
located at N021-M S'40496 KID+ SOX on
�D'JU€ 1<1OUA.10
(Water Body)
(Lot, Block, Road, etc.)
in -ATL,d /!TI e e�g&A C M N. C.
(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.)
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A CSo S'ETTiNoJ of
Signature
Print Name
Date
Phone Number