23248_TOWN OF PINE KNOLL SHORES_19990923

CAMA AND DREDGE AND FILL
GENERAL N 4 23248`c-
PERM I T 0/ rol
Iiie
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 Phone Number
Address -
City Staate"! zip
Project Location (County, State Road, Water Body, etc.)/ �'� f� J�� /41
;,'� � �( .% c.' ,�,�. . , _ .-h . � F' fr r ,•.1 �`i�9 �^ �L-'' f _ 1 /tG +'"/.�` � f -
Type of Project Activity r," k, n,>>rR; -° el If � c/
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PROJECT DESCRIPTION I SKETCH
Pier (dock) length
Groin length
number
i
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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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.
attachments
issuing date
M
d-p applicant's signature
permit officer's signature
expiration date
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee
Management Program.

TOW_ N Of PINE KNOLL SHORES
100 MUNI IPAL CIRCL
PINE KNOLL SHORES, N.C. 28512
[phone]
PAY EfACTLY ***50 DOLLARS AND NO CENTS
PAY II DIVISION OF COASTAL MANAGEMENT
TOTHE MOREHEAD CITY, NC 28557
ORDER
OF -�
MUFiEHEAU CI IY, NC 28bbl
531
No. 024310
8-26-99 24310 $50.00
THIS DISBURSEMENT HAS BEEN APPROVED AS REQUIRED BY
THE LOCA GOVERNMENT BUDGET AND FISCAL CONTROL ACT.
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' ADJAUNT RIPARIAA: PR(.)Y? RTY OWNER ;iTATEM4NT
I hrrel;,y c:ettify 1-hat T own p&roperty adjar,;c,nt to
f�''�,r
_._.�._.10 4j N op t U lif _ 0 l �...
l oc ti t:. eel at-,
o.4'4;- ...__..._....,. tv . c::
(wato. r B( c3y) _..`.;Town ar'T7
He l",as to 1t;< w inc3ir`,ated below the cieve.lop,Clr!lit
trc is at thai , lo(cation am"I I hove 110 objCctiOlIs
his ptopo^-11. tr,at a pi''?!;., piling:i a1iCI
dredyiny r[lust be sort brick a I! i.nuil�uM divt;',InCe Of 111". :r17 iC'L't
(151) fr u'ii my aI'+; a of rioal'3 tip"I access UnDJ -65 Wai%'cd by me-
1 dLD 1':p+- 4J1 >y'4 t<.')`gala ve I`;'IRL: :etback regl.ji rcn,ic;nt .
do %4jsjh to w.:-,;V(,, remerty
D`sc,):i tic'sn anti/or: drawing ()f1:-q use l �1eyc1.c)pw nt:
(7'o k�r filled zrt 1,y inr';? v1c ua r„ __,i;a. ,i 1��� (10Volc)t�!nc�1) ) n
'�t` �°%'� ..a C E-``l'��'�'y` c� F= c!I S c. �,c/� �+ r.� •�-E ���' cr= 'Zj i? �f �s <' � e!►d j�'c:�f
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
0/0 W031'cz'Cla&0'�O
iowv 4 of 'P(kp �i(01-C: S' a�'�S ' s property
located at _ S'� -S-10E - //e 111EeL W&C-1 On
(Lot, Block, Road, etc.)
.A,2 e6 SS e-�4ANIVC- L_ in 11D/Zlt� IC�oL� S�� iy.2�= 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.
X— I do wish to waive that setback requirement.
Description and/or drawing of proposed development:
(To be filled in by individual proposing development.)
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