18741_BENDER, JACK_19970718

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CAMA AND DREDGE AND FILL
GENERAL 1�`W 01 t8741--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
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTIONTSKETCH
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
rL
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.
c 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
Zip
(SCALE:
t U
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applicant's signature
permit officer's signature
% r issuing date expiration date
attachments
application fee
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JACK OR MELINDA BENDER
NCDL 1658031 3889531
916 RUNAWAY BAY 919-514-0345
NEW BERN, NC 28562
(((('���� 2529
19� 66-25/531
31
31
PAY ER THE (1 E �/� (� I $ S0 r 0
ORDER OF �r // Gad lJ u
KdfionsBank
Nationst3ank, N.A.
Carolinas
D0 L LARSDo.w.��.
Financial Connections Customer
FOR
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2 75 2529
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION WAIVER_ FORM
Name Of
Individual An lying For
Fermit:
Address
Of Property. .
'el 91
a- Cl' vim•, :� (Lot oW Street �, St eet or Road, City & County)
I hereby certifythat I own property. adjacent to
referenced property. The individual applying for thi
si
described to me as shown on the attached drawing the
they are proposing. P_ description or drawing, with
should be provided with this letter.
I have no objections to this proposal.
the above -
permit has
development
dimensions,
If you have Objections to what is being nronosed,'Dle=se Write the
Division of Coastal Management.-127 Cardinal Drive Extension.
Wilmington, North Carolina. 28405 or call -910-395-3900 within 10
days of receint of this notice. No resnonse is considered the sable
as no ob!ection if you have been notified by Certified Mail
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat
house, lift or sandbag_= must'- be set back a minimum distance of 15'
from my area of riparian access unless waived by me ( f Y . I_ ou wish
to waive the setback, you must initial the appropriate blank
belcw. )
I do wish to waive the 15'setback requirement.
I do not wish to waive the 15'setback requirement.
we a7`
6'///G�IGQ� cam(• �yi�
Prinz Na.ile
9i9 433
TCIa-Cl.cne Number With Area Code
-----------------------" .p

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION WAIVEP- FORM
Name Of
Individual_
Apblyina For
Permit: e ti
Address
Of property:r
(Lot or street,-, Street or Road, City & County)
I hereby certify that I own property. adjacent to the above -
referenced property. The individual applying for this permit has
:{ described to -me as shown on the attached drawing the development they are proposing. A description or drawing, with dimensions,
should be provided with this letter.
X� I have no objections to this ro osal.
. P P
If you have objections to what is being tir
Division of Coastal ManaQement, 000_cd, blease write the127 Cardinal Drive Extension.
Wilmington, North Carolina. 28405 or cal
l 910-395-39 00 within 10 days of receiot of this notice. No response is considered the same
as no objection if you have been notified by Certified Mail
W7LIVER SECTION
I Understand that a pier, dock, mooring pilings, breakwater. boat
house., lift or sandbags must be set back a minimum distance of 15'
from my area of riparian access unless waived by me. (If you wish
be waive the ssetback, you must initial the appropriate blank
below.)
I do wish to waive the 15'setback requirement.
I do not wish to waive the 15'setback requirement.
Ell
L'C I.0
Mrs, 1:zM
Print Name
Telecl.one
.5 (i AA
umber Solt
Ares Code

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