16153_BENTLEY, JACK_19970112

A a
t
CAMA AND DREDGE AND FILL
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 �9/Z/ /Zc-�-3
Applicant Name Phone Number
Address
City y� rlr. f ,' State A) C Zip .2BS7 /
Project Location (County, State Road, Water Body, etc.) rs�'2 ic..y 6'ae� 7�
Type of Project Activity
Xe'( - C
PROJECT DESCRIPTION SKETCH V A/6A d�r'e/ � �/� meuf %�,� %�'•'6 '� (SCALE:
�_l ll7GL'!r/f 6 f.i C'r • tPpi.r-
Pier (dock) length tJ % �� 6J `•s�N,,'� .
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
O
0
O
1 �S
,t
5-�
I
10 1 71 £ y _P1,24,Pt--fer j
y
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
permit officer's signature
issuing date —� expiration date
attachments 0910.1200
In issuing this permit the State of North Carolina certifies that
s this project is consistent with the North Carolina Coastal application fee e 6-() r/t 0( or, %
Management Program.

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PAY TO 00
THE VA f `A R
ORDEREROF ���VVVlll 11 Y�
LLARS
FIRST CITIZENS —
77 A 1�T1I Flrsl Clllxens Bank A,rust Company
�[��i� Otlental. NC 28571
FOR �/��ic� "g.
�^ O/6/S3 C
::i:0 5 3 100 300i:4 7 17 5 3 2800,18

01 08J199? 22:58 1-919-249-2602 VILLAGE REALTY PAGE 02
AIAIAcWr nPARIAN PROVOM ON= 8TWroon
I b* eb}* certity +t tat 1 own pr(norty adjacent to
s property Vacated at
lat, h esft. r �. etc• ii.C•
is
CM Y isfsrar tom Cast]'
The pr has balan descti�d +to 00 as sttrttt btlovi; thy! d 1C it 0
�e ` t assd the propOW IgM"On, and t have no �jrcticxns
c that if t �rveAtt is a pitr. it �t be
to the gropoatal. I �erstaod
set back a min fto distance 'of 13 feet from Vy aroa of riparian aOCess unl
Wait+ed try tag• Y xish to
t(e ivthatsvtbar3c tai.
iXn
e�R•F1•IRRt*�fiR e�'*f f*'R 11wi!ll if 4tRt}!! •aR•�•i RR•R#}RR7f1ri R•*i14i RQ i"�QA4S'a's8111ri�Ra # •4
%=-4%iaa waAr moat o[ WPOW�: tto T� fisud in Tay irdividml
�g drygt. )
R1Rti#rearst!!at#eaa��
a#i•••s++##aa•.+++ R#NR#fNeRMltiMi�M#}iftft#RRR
(Migiml fit b@ rotaLrEd In ft
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01i08/1997 22:58 1-919-249-2602 VILLAGE REALTY PAGE E3
f
AwhcplF RIPARIM PROPERW O R STATEW"
T hereby certify that I awn property adjacent W -
-r� +6 prapeCty jaded at to black�Cd�,U-tc
N.G.
�vatkklr�.t[arid or Ccnf4ltyy of as �1tcnbelov;the deve14p"nt, a
r� Pr' beery esCr ib� -to me tiara$
-it ry lwat i OP , and I have no objections
(C �C3at�Qi t is a ier, it Mat be
to the prnpusal . I understand that if the devel.opan' _ ---delft unless
sct 1q�1Csk a minimum didtat of 15 tees. LEW nor 0'— �- -
t setback requl rnt .
Wa J ved by me . I rd" ui �h to waive tl+sa
.R««•.•at•♦skw�,ua.�tair�a,�+r*�s«:t�rrrs:er►rrrrl��t�� fiIlP1� in �*�YiQIJ�l.r��eefre�*
�iptit�ry a[ld,r� dr'aawir� � '=ed t�."�1�'g'�
prt �'arr3 d�la,�t_ )
�tRAi1f!*�•s.rR«t r4A�ak3'?�t/rf tkiAlstr*� ��Mrtt+tRte�1#�M�kr,riRir+�+►**ftll+aiAN��c+►a�+afi*1!e►�#AR+►iA�+r«�A
(a;girl to mairod in " L q*ctim Dqmrtm3*)
re
Name iPltase print)
TO'd VOTO 016 Ott a31,3nw Wti 6Q,• N W L — ^ a"7.

• 01/08/1997 22:58 1-919-249-2602 VILLAGE REAUN
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