21456_PETERS, E L_19990303

CAMA AND DREDGE AND FILL
GENERAL ` 021456
PERMIT
as authorized by the State of North Carolina ' �v
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC V ' t-)
Applicant Name FF. J-, "� '
Address '3n eY
City
Project Location (County, State Road, Water Body, etc.)
State
Phone Number •� q d , d i1 "%" Z • 3
zip
n
Type of Project Activity rr r C
PROJECT DESCRIPTION
Pier (dock) length C` &
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
SKETCH iR j j'J/4
7 � J"t •, i ! fW
j
y"j 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.
a
(SCALE: )
13
rid tt'
a
-VA-
applicant's signature
issuing date
attachments A 7 A�
permit officer's signature
expiration date
i
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application feet
Management Program.

ORDER OF 1 ,J (N
DOLLARS
MOM
BRANCH BANKING AND TRUST COMPANY SIGNATURE OF REMITTER
WILSON, NORTH CAROLINA 27893
F3584-932
co.m........a.w.,,orm,w,..>. m.S.e u> �w-u.r .u.o.,ri_. - . : �'
CITY 8 STATE
II'465843911' 1:053 LO L 12 LI: LO L908000 Lit'
M THE',F,;ORIGINAL`,D,OCUMEN;T?HAS'A`r;REFLECTI,VE' WATERMARK ON THE BACK.' -',.'HOLD -AT, AN ANGLE TC1�1/iIE� Wjf{' lug

ADJACENT RIPARIAN PR PERT`I OWNER. STATEMENT (ds4+t"A—WA-?, )
I hereby certify tha,. i own property1,1djacent to �, ^-' � P,4 _-;
property locate) at: 0 g �Q z}� � A �j �(>-JL- LDt 14,
(iot., Mock, road, etc.)
0n0-49!!t _--�___-----ire PlAekA011 S ;�
(water body) (town and/or courit.y)
He has described to me as shov;n beiuw the development he is proposing at that loc ati<.;n
and I have no obections to his proposal. I understand that a pier m►rst be set 1),tck
m.inimurn distance of 15 feet from inj area of riparian access unless waived by me.
'I do do riot wish to waive hal. �1e; back requirement.
(circle one)
Uesr_ription and/or drawing r)i pl-loPl-,_;cad development: (to be filled In by
proposing development.;:
s��-:7 ff�cN&, D
Signature
Name
Phone Number

D,C ttio- - %ram
�a�t' D�u�i2 s .�s sus/• I�PO/�oU£O-
XO T TO d A
Re?"oV4-
waLkWA
��►yT�"- N6w
k)IoENEz wptkvor
5.., Pf� 7
S'—`PIg
4�c-
O ExisrINs Pit-ivulo
'S
® ,vtu Pn,, N 6 s
a�f7 6153

AD.IACENT RIPARIAN PROPERTY OWNER STATEMENT (VOR A }'t'.-it-)
(� & 1 7:7-
1 hereby certify thati own.. property.• ,adjacent to C.Q.L. TL��
property locate;! at '� �.�� L1_0
(lot., block, road, etc.) -5u POlt it,
g'
(water bod"y-) (town and/or county)
He has described to me as shown i,ei;,Lv the development he is proposing at that lr,c,.itl ,
and I have no objections to his proposal. I understand that a pier must be set bac_
mirilmurn distance of 15 feet from +n.y area of riparian access unless waived by rug.
I do do not wish to waive that. Ftetbac-It requirement.
(circle one)
Description and/or drawing rf prop"is('d development: (to be filled In by individli:i
proposing development',
A. Signature �
JOHN W. SEARS
HMf E-RU.-
Name CARY, NC 27513
Phone Number

r
/�PPriov£D- �1/oD -7 SG'���
14
,5m S A.1 i� L0C- 04-r16 re C3 Erg f-E N ¢ q
C>
all
do
I
J �
J
Q
0
o I�
� o t
I J
R e Y" t) iT
New
(t�) , of oF% W PrLk-k),-r
`5- . t P,4L 7
6'-`Q , u
Ol
® Nf,w
aq7_ L153
Ok".j
1
t

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A -MR)
,B&Fr e-I
I hereby certify that I own property adjacent to �' is
property located at
uc Lo�B
(lot, block, road, etc.)
on 1 1 ►i 1I" 1 [ttlL_� G/4�J'4G in n and/or count
(water body) (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 must be set back a
minimum distance of 15 feet from my area of riparian access unless waived by me.
Pe
do not wish to waive that setback requirement.
one
Description and/or drawing of proposed development: (to be filled In by individual
proposing development.)
Signature
Name
Phone Number

r
e
Ro661E- leaf" is
,4 126 o 6,4 :f D r- A Oo CtJH/f-'r-' `";1f-
�-d'a w� �' D�.c� �u � �2. 5 .4 s 5 �• /�` P P/�- o v£ D - �1/c,-� T sG � LE .
o u h tj /� d T 1� �` .� nt T pi f- To )D
to i rt-E
S,►i��� 5 Z-ocriF 4-
Rernt)✓4-
C X13 t-I 6
LO
Nxw
4,>joEN6ib wMkVA
t w o-sy P16 p il-r,01�5
0 Nfw
. 001D�`/�

r, L, TEf TEP-5
y
To l3�� �So003