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18441_BAKER, GEORGE & JOAN_19970918
CAMA AND DREDGE AND FILL GENERAL -1 A - C. 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 795- - City 4-�," A/ Project Location (County, State Road, Water Body, etc.) Type of Project Activity i PROJECT DESCRIPTION SKETCH Pier (dock) length Groin length number Bulkhead length 3 ++ State Phone Number Number 92N Zip (SCALE: max. distance offshore Basin, channel dimensions F� r (� ! cubic yards �' 4 I Boat ramp dimensions ` Other _ 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/ applicant's signature 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- 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 I In issuing this permit the State of North Carolina certifies that this project is consistent with the North Carolina Coastal application fee .f'� )s S S Management Program. - 3 GEORGE L. BAKA 66-112/531 1553 JOAN D. BAKA 5115643314 PH. 919-745-4764 2795 FLORENCE RD. (� 9 - �� - l -7 MERRITT, NC 26556 ! / " W"" 7) rev R 1$ "jo ADVANTAGE m 514 GREENVILLE BOULEVARD SOUTHEAST GRE/EJNVILLE, NC 27858 1:0S310112111:S1,1SF,4331411' LSS3 _(0011am, El n�a�°i°p°w�,MZ 1 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT r.: W I hereby certify that I own property adjacent to kh6 -- kA property located at W//Z, 74-5-,l 41pt , block, road, etc.) on tY1Cf F', in (body of water) North Carolina in _ � M _6 county. (town) The proposal has been described to me as shown below; the development of a pier/boat ramp, and the proposed location, and I have no objection to the proposal. I understand that if the development is a pier, it must be set back a minimum distance of 15 feet from my area of riparian access unless waived by me. I o no wish to waive that setback requirement. (circ e) Description and/or drawing of proposed development: ( to be filled in by individual proposing development) . S � ature 4• 1 o t • /Q7 SEP 15 1�' � '' Date U -ame ease Fin ) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT M Le I hereby certify that I own property adjacent to Jg—_AH A <S'C 9G Bok ( property located at trk-' -A orP_.flc' (lot , block, road, etc.) (I �I- on _ NkO-60 () C AMOCk� in NAe-en`i (body of water) (town) North Carolina in � M �C-© county. The proposal has been described to me as shown below; the development of a pier/boat ramp, and the proposed location, and I have no objection to the proposal. I understand that if the development is a pier, it must be set back a minimum distance of 15 feet from my area of riparian access unless waived by me. I doff do not 'wish to waive that setback requirement. (crrc e Description and/or drawing of proposed development: ( to be filled in by individual proposing development) . O N � 16 t O C O !r, /J ., 17) SEP 1 5 11