HomeMy WebLinkAbout18404_CHAMPMAN, JOE_199708080
CAMA AND DREDGE AND FILL AA
GENERAL /° ,
918404
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 Phone Number
Address
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION I SKETCH
I Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
State Zip
(SCALE:
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issuing date expiration date
attachments
application fee
_...
1130
JOE A. CHAPMAN
RUBY C. CHAPMAN �' !�"J 66-21/530
808 BENNINGTON DR. rl _19- ( 30010
RALEIGH, NC 27615
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First Union Hafionnl Bank
of North Carolina CODE
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ADJACENT RIPARIAN PROPERTY OWNER
STATEMENT (FOR A PIRR)
i
I hereby certify that I mown property adjacent to
0E CN A�M /J -a property
located at LbTS S� JLOCk :6SE-zrto,., % 5, on
Lo 0 Alock, Road, etc.)
In►T S 141. �l E�2�#/ in 9TI/ ,
Water odY own nn cr County]
He has described to me as shown -below the development
Pp. P
he Is proposing at that lucation and I have no objection# ,
to his proposal. I understand that a pier must be set
back a minimum distance of fifteen feet (151) from my
area of riparian ncces. unless waived by me.
AI do not wish to waive that setback requirement.
I do wish to wAire that setback requirement.
Signature
Name
Phone number
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