21467_NEWCOMB, J C_19990317

O
CAMA AND DREDGE AND FILL
GENERAL - 021467
PERMIT �d
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 NCACD
Applicant Name"0 U. f
Address
City
Project Location (County, State Road, Water Body, etc.)
State
77 ? f
Phone Number
zip
Type of Project Activity Y r r Tor 1 A
PROJECT DESCRIPTION SKETCH ` `f (SCALE: )
Pier (dock) length
Groin length
number �,
--'49 �'� " ...•
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions'
oe
Other � y..,//1 �. _
dfr(7 i.
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.
applicant's signature
permit officer's signature
' st
-l7 V l y ir- /7-- ,,
issuing date expiration date
attachments
In issuing this permit the State of North Carolina certifies that % t t�
this project is consistent with the North Carolina Coastal application fee J [f O
Management Program.

7485
ROBERT WILLIAMS CONSTRUCTION COMPANY, INC.
3715 AIRPORT RD. 237-1939 66-112
WILSON, NC 27893 531
DATE �'S 7
PAY
TO THE ORDER OF t e g-, $
DOLLARS
70101 BB&T
rauar corrnr.r
WEST NASH STREET
FOR (�� Lv 2�893 , yA �C
{'� ++ 1TJCJQ-�
Np
1110000748511' ':05310LL2L':L0LLL89594u'
`.-���,d�•-�P.=..--^':4i::--._.:;�iis-.aa�n,—�_:.,���-ucmaw;�,�rr�tT :R,;F,�_•�-�5nna�w�,s�.�-

ADJACENT RIPARIAN PROPERTY OWNER STATEMIENT
(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to 2_ 's
(Name of Property Owner)
property located at
(Lot, Block, Road, etc.)
on , in ,Tf l�z- /X<< � , 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)
1' JZ
Signature /
Print or Type,Name
e , 4.- kyi—iS'13
Telephone Number
Date:

ADJACENT RIYARIA�Y PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to Lzy,���J_ 's
(Name of Property Owner)
property located at."'-/'? 13"e',z U -5, ' •- -� � =
(Lot, Block, Road, etc.)
on , in lL������. �-' �- � ' � : 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 Bier/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)
It
I
Signature
Print or Type Name
,A5a 2.-3-1-/9-!
Telephone Number
Date: U,�

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FrOPOI&&** ty •haws os this pl•11 that the respeary In/ ���MS FF1 N R
ll•p aa1 lomatlon of •11 structures •r• £
ocaNrstoly show* hereon; th • •truatur. 1
located on "is pdroperty / lr1'0"O'encso•ah
ew may adlocent street ELF' d dpat the
structure so tAc N)oQ�Lti pro w ItiyRBXOT �1}�} Q �(%1'^�►� '^/
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SCALE
= + COLLIER SURVEY COMPANY
`' o .hn W. Col �t R f�l�s. DATE 408 Arendell Strea+t/ PO Box 3460
e si.• � �srap��t¢�. o; �, �� �� IYka-Ahead 6rx, 9dorth •Carolinft 28357
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