17083_HOLCOMB, SMITH_19970425

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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 J
in an area of environmental concern pursuant to 15A NCAC
Applicant Name �7'�, /(c>>'�° Phone Number
Address
r
City State /%i' Zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION I SKETCH
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, charnel, dimensions
cubic yards
Boat ramp dimensions
Other
(SCALE; )
r
77) ~}
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.
r' applicant's signature
permit officer's signature
27 7- ?t c�
issuing date expiration date
attachments � , /J ("U
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
application fee - � r 70 �r
Pal
3�l3�

EROSION CONTROL SPECIALISTS
ATLANTIC BEACH CAUSEWAY NCDL 8039839
P O BOX 3355 PH 919-726-2191
ATLANTIC BEACH, NC 28512
PAY TO THE
ORDER F
IJR.SI CITIZivNS st
!' n A 7 K Atlantic Beach,
, N d 851 Company
i�{I{',�� v Atlantic Beach, N.0 28512
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
� (TH ILI D L(20A#-I ' s property
located at _/O� '9-► 02 -,., -F STrGE��T , on
(Lot, Block, Road, etc.))
1�10N4-o VaIvr SASl..( in ATL,4A�(r'(C ' ?4JC'P4 , N.C.
(Water Body) (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.)
c�.YZ>q-. OF rpc-c-fLS i-2Oz;'gT
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Date
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Signature
_ 4 u o R.Cy Pi
Print Name
Phone Number

0 �22/97 TUE 13:26 FAX [phone] PINE STATE
APR-22-1997 13:10 -fRIANrLE COMMA INC.
A'
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that I vwrt PrvPe=tY adjacent t
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locatedat-fQ dOC�i• �Os�idQGK'•
r��„ (�'aiarti and or COUtsty�
[Water pt,dy) the devw1QPmenr-
drederib,Ad to Me as indicated be1d+T
at thzL �Octiott end Z lave nts a1sCt igYtS
e has. pier , pilings and
ize is pr4osing I t3rsderSzatYd that a£ £1 steer. feQr
to h15 propcpesal. - back a -mire gi stanee
$redgirtg
:Rust be m ,.t riparian access Limes, waived by me.
S a. 5' son+ my a1 x e a t-
� $O not wisti+ tv naive that setback Fequiremen
--�-�- aetbaOk requise�►er+t_
�[ Y do QLRh tv ,naive t^t.$t
—•—�� of LO O�LCd �3eYelo �TtC:
DesCri Lion and/or drawirs a osin4 deve1O1Wment, ?
tTa bw filled in by iridxvidual p= P
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Date
Post -it' Fax Note 7671
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04/22/97 13:28 TX/RX N0.0267 P.001 0

Atlantic Beach Causeway Marina
(91 9) 726-6977
P. O. BOX 266
Boat Rentals & Sales
ATLANTIC BEACH, N. C. 28512