7913_ROLLINS, JENNINGS_19910415

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CAMA AND DREDGE AND FILL � 7913
GENERAL
PERMIT�--
as authorized by the State of North Carolina,
Department of Natural Resources and Community Development d oast,a e e mission
in an area of environmental concern pu�OA� o 15 NC
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PROJECT DESCRIPTION I SKETCH (SCALE:
pr
1Pier (dock) length /i X �1??41�;41&/
2-0 X 3 fr-
Groin length,
number
Bulkhead length
ax. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
7� r
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 t' the
permit officer when the project is inspected for compl(ance.,
The applicant certifies by signing this permit that 1) this (�ro-
is consistent with the local land use plan and all local
inances, and 2) a written statement has been obtained from
adjacent riparian an owne certi ying that they have no
'f o lec tons e proposed work.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
s�r
applicant's signature
permit offic is signature
//
is' date x iration date
attachments����
application fee /K—

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AWACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A VIER)
I herebygertify that I own property.adjacent to
J EAIAI;,.,, c t �n �Ns 's property located at
(Name
0
Owner
Lot, Block, Road, etc.
on Al j<w
(Waterbody) (Town and/or County)
FI,= has described to me, as shown below, the development he is
r..=oposing at that location, and, I have no objections to his
:._-oposal. I understand that a pier must be set back a minimum
ai_�zance of fifteen feet (15' ) from my area• of riparian access
uriless waived by me.
I do not wish to waive that setback requirement.
_ I do wish to waive that setback requirement.
DESCRIPTION ANDlOR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
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APR 12 1991
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Signature
Print or Type Name
Telephone Number
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1�
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
I hereby.gertify that I own property.adjacent to
• b
J E, r �%Ns,s property located at
(N'ame of Property Owner)
(Lot, Block, Road, etc.)
on k in /V r?o,)EJ N.C.
(Waterbody) (Town and/or county)
fie has described to me, as shown below, the development he is
_:=oposing at that location, and, I have no objections to his
I understand that a pier must be set back a minimum
ai�:zance of fifteen feet (151) from my area- of riparian access
uriless waived by me.
I do not wish to waive that 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)
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SignaturPD e
t_ F_y-a
Print or Type Name
Telephone Number