7818_PROUDFOOT, NOLAN_19901016

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CAMA AND DREDGE AND FILL ��''�'` r ` 7818
GENERAL:
PERMIT
as authorized by the State of North Carolina,
Department of Natural Resources and Community Development and the Coastal Resources Commission
i in an area of environmental concern pursuant to 15 NCAC
Applicant Name �'f}` /' `' Phone Number
City
Project Location (County, State Road, Water Body, etc.) _
`' / . ii 1,, ,c 1. / ' _
Type of Project Activity
PROJECT DESCRIPTIO�N
SKETCH
/
Pier (dock) le gth r /
Xt 19'14 3'u�
E .
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
State
This permit is subject to compliance withjthis application, (site 1
drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a
;I f' d h b
(/ / / y4- L_
Zip
(SCALE: )
applicant's s
Imprisonment or civi ac ion, an may cause t e permit to e- 1'
come null and void.
This permit must be on the project site and accessible to the permit officer's signature
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 _
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee
Management Program.
issuing date expiration date

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ADJACENT RiPARIAZI PROPERTY awn STATEMENT
(FOR A PIER)
I hereby erti.fy that I own 'property.adjacent to
Al, N - o uk2L i ' 's property located at
(Name of Property Owner)
UI(7
(Lot, Block, Road, etc.)
an asr, nw in �/,l-�� t3JE42 0_?0dfi4) N.C.
(Waterbody) (Town and./or County)
He has described tome, 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 fifteen feet (15') from my area -of riparian access
unless waived by me.
I do not wish to waive that setback requirement.
I do wish to waive.that setback requirement.
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DESCRIPTION AN1a /On L""-1?NG Or,. '.O1',,OPOSED DEVELOPMENT:
(To be filled in' by. a^daxr.�lual` proposing development)
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si ture
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Print or Type Name
9•IC - G 3 > - . (. �-s-)
Telephone Number

-ADJACENT RIPARIAN PROPERTY adNER STATEMENT
(FOR A PIER)
0
Telephone Number .
0

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