16984_HAWLEY, CHARLES_19970227

CAMA AND DREDGE AND FILL
GENERAL
016984
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 �- " t' } `' t� `/ Phone Number 6 /
r J
Address i j t,. I-
City
r State /1/ zip
Project Location (County, State Road Water Body, etc.) S e- ii, t' U
Type of Project Activity C f''f^ 1 c1 cZ I U9 -> C? �� ! <. It
PROJECT DESCRIPTION SKETCH
Pier (dock) length ! ®� t� ��7'4
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.
�� (SCALE:
' Y d„ o
applicant's signature
L-/
permit officer's signature
issuing date expiration date
attachments% / ' sr °
application fee

CHARLES HOMER HAWLEY 661493
2531 31
PEGGY HAWLEY
609 SUNRISE LN. PH. 326-7500 DA%E �_�
SWANSBORO NC 28584
FAYTOTHE
ORD R OF
/'�— Ty �-
a-�
DOLLARS
M + I g ne Federal
Credit Union
Ja ksonville, NC 28541-1551
FOR �7
1: 253 3174B931:0900019 61700311' 31493

ADJACENT RIPARIAN PROPERTY OWNER STATEWENT
(FOR A PIERIMOORING PILINGSIBOATLIFlIBOATHOUSE)
i
I hereby certify that I own property adjacent to !Jr Z.�,� 's
(Name of Property Oder)
property located at
(Lot, Block, Road, etc.) ✓
on wfV/ ?`E Doh i % . in �l �',� , N.C.
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is proposing at that
location, and, I have no objections to his proposal. I understand that a pier/mooring
pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (15') from my area
of ripari access unless waived by me.
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PRP
(To be filled in by individual prop 7i
i7
D DEVELOPNMNT:
velopment) '
4�
4Sign]a� re
Print or Type Name
,j�7/�,�
Telephone Number
Date: a— 9

4
)W' ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSE)
F,
I hereby certify that I own property adjacent
property located at
Road, etc.
(Name of Property
r
I
in Div S n i.) , N.C.
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is proposing at that
location, and, I have no objections to his proposal. I understand that a pier/mooring
pilings/boatliftiboathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
1% I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOP MNT:
(To be filled in by individual proposing development)
Signature
Print or Type Name
Telephone Number
Date: )�- -- (o - �-?
Sk 4