16015_HILL, LARRY_19970612

O
GENER
AMAALND DREDGE AND FILL �� y 016015_,,f
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 ' '" .141"0
Applicant Name �rrr/ //l/
Address %Cs �� c7
City
Project Location (County, State Road, Water Body, etc.)
'►fG.,r n .
Type of Project Activity /" "S -�ur / 'y gS
Phone Number
9g 5/- 417 /
State zip "' 7f 77
0. t fib%f i
PROJECT DESCRIPTION SKETCH (SCALE: }
Pier (dock) length
Groin length ,n
number Ac M
Bulkhead length _
max. distance offshore fi[/Y
Basin, channel dimensions 1
'rif`
oi:�a 0 { �:
cubic yards
Boat ramp dimensions 7w«1
Other
t1JLL T
1
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any _ r�
violation of these terms may subject the permittee to a fine,
imprisonment or civil action; and may cause the permit to be- applicant
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.
permit otticer's signature
issuing date expiration date
attachments ra��• /10 c-,
In issuing this permit the State of North Carolina certifies that �
l
this project is consistent with the North Carolina Coastal application fee s ` '��� / 7"
Management Program.

ppcl
ACENT RIPARIAN PROPERTY OWNER STA
(FOR A PIER/MOORING PILINGSIBOATLIFFIBOATHOUSE)
JUN 10 1997
certify that I own property adjacent to
property located at
�/--AVVP V 1- 'S
(Nava of Property Owner)
(Lot, Block, Road, etc.)
on -S - � i' 1 ly /� , in i sA 2v1 (C o _ , 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 riparian 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 PROPOSED DEVELOPMENT;
(To be filled in by individual proposing development)
c_ \
Signature
td
Print or Type Name
Telephone Number
Date: 9

/ 4 � d 1 ' //?/�� 2-
y
/i/C

property located at
PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
that I own property adjacent to ' A A
(Na&e of Property Owner)
1 l��
(Lot, Block, Road, etc.)
v
on S - ,2 i 1J �►� in ✓ /�"� ;` C , �J 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 riparian access unless waived by me.
I do not wish to waive the setback requirement.
—, 11-� I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
14-
U-J-^IAk2oLo f,
Print or Type Name
0i� 41 1- 6az�
Telephone Number
Date: 6

LARRY B. HILL CONSTRUCTION
PH. 934-6521
2708 BUFFALO RD
SMITHFIELD, NC 27577
PAY jr). }/_ r `// /'j f
TOTHE
ORDER OF.
- C
301 BRIDGE STREET
SMITHFIELD, NC 27577
FOR - - -- -
10000 9 7 6 211 i:0 5 3 10 L 1 2 11: 10 9 L00 5 30
9762
§q-
531
DATE 9/ - 9 9
$�
�•- DOLLARS 0 °�