7894_O'BRIAN, MORGAN_19910226

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CAMA AND DREDGE AND FILL 7894
GENERAL (:", 7VI
PERMIT/,-,,
as authorized by the State of North Carolina,
Department of Natural Resources and Community Development an a al Res r o i sion
in an area of environmental concern pursuant to 15 NCAC
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Applicant Name � >"- � '- Phone u ber �r3
I Address
City . �E' c� G�Y/Z State .41c, zip
Project Lpfatio>n ounty�Sta�Roac1, WAter Body, etc
Type of Project Activify
/'iJ>f /Jim CZ .O/(-sue' 3Y —7X 2OFT71Zvy,,. s9ivr✓ .9 i 4 .
PROJECT DESCRIPTION j SKETCH
Pier (dock) length C,32 1-a
/ld.. d.i —/f __&11,/1
Groin length;
number
Bulkhead length
ax. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
i
This permit is subject to compliance with this application, situ
drawing and attached general and specific conditions. An�
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 tt
permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that 1) this pro -
is consistent with the local land use plan and all local
inances, and 2) a written statement has been obtained from
-adjacent riparian ! wners certi ying that they have no
i objections to e propose wor .
(SCALE:
applicant's signature
permit offic is signature
r
issuing date a iration date
attachments 1.2(l,�
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application feel�t/�?%'
Management Program.

7INSET A
FAIRFIELD HARBOUR
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ADJACENT RIPARIAN PRrOPEMTY OWNER STATEMENT
(FOR A PIER)
I hereby gertify that I own property.adjacent to
) Ru A) �17V A,-) 's property located at
(Ndme of Property Owner)
(Lot, Block, Road, etc.)
on ko rw /�i=,c. CAr.,,., LrL , in No C .
(Waterbody) (Town and/or/County)
F;-- has described to me, as shown below, the development he is
_.:•posing at that location, and, I have no objections to his
:::-cpossal. I understand that a pier must be set back a minimum
ci-stance of fifteen feet (151) from my area- of riparian access
unless waived by me.
I do not wish to waive that setback requirement.
_.J,::�I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWTNC Or PROPOS
(To be filled in by individual. propos
i-
Signature
Print or Type N e
Telephone Number .
MENT:
pcuent )

FSO vq-T- � oS

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
r.
I herebygertify that I own property.adjacent to
's property located at
Property Owner
(Lot, Block, Road, etc.)
in �Qkr,�x � c fig una. , N. C .
(Waterbody) (Town and/or County)
fly_ has described to me, as shown below, the development he is
_.�opo.ing at that location, and, I have no objections to his
I understand that a pier must be set back a minimum
a :_:: r.ance of fifteen feet (151) from my area- of riparian access
u::less waived by me.
_ I do not wish to waive that setback requirement.
do wish to waive that setback, requirement.
DESCRIPTION ANDIOR DRAWING OF PROPOSED D=, LOP.MENT:
(To be filled in by individual proposing development)
c
o k)
Signature F i
n w k w-
Print or Type Name
Telephone Number
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