7852_ROBERTS, WILLIAM_19901115

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CAMA AND DREDGE AND FILL 7852
GENERAL
PERMIT
as authorized by the State of North Carolina,
Department of Natural Resources and Community Development and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC 7 �/ / � 1'
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Applicant
Phone Number
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Address lZe
FFP 06 /1
City T
State ��
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Zip r S.? ���' %
Project Location (County, State Road, Water Bod- tc.)
Type of Froject Activity n
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PROJECT DESCRIPTION
SKETCH 9�
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Pier (dock) length
�1` � Li
— ------
number
Bulkhead length.—
max. dist�e offshore
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Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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This permit is subject to compliance with this application, si e
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.
�I
f 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
issuing date expiration date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
objections to the proposed work. attachments
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I In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee
`" P
Management Program.

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
• (FOR A PIER)
I hereby-gerti,fy that I own property.adjacent to
(.e) �i�w►D G-��2�1 's property located at
( Name, of Property Owner )
(Lot, Block, Road, etc.)
on S ,/ ,1z'Ic- , inNFu) Uhl/ 0_4/CJ,{i3 ,. No
(Wat body) (Town and/or County)
Fle has described to me, as shown below, the development he -is
�:_0posing at that location, and, I have no objections to his
:oposal. I understand that a pier must be set back a minimum
a'iszance of fifteen feet (151) from my area - of riparian access
unle waived by me.
V I do'not wish to waive that setback requirement. '
I do wish to waive that setback requirement.
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DESCRIPTION ANDLOR DRAWING OF PROPOSED DWELOPMENT:
(To be filled in by individual proposing development)
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Signature
Print or Type Name
Telephone Number

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�^ �rid
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9l C/

ADJACENT RIPARIAN PROPERTY OWNER STATEM NT
(FOR A PIER)
r
I hereby- perti.fy that I own property ,adjacent to
(,y k k i A w► D GFl2Z Is property located at
(Name of Property Owner)
(Lot, Block, Road, etc.)
on in AI Fna) 3ZD(ir , N. C.
(Wat body) (Town and/or County)
Fle has described to me, as shown below, the development he is
'r::oposing at that location, and, I have no objections to his
_:roposal. I understand that a pier must be set back a minimum
cistance 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.
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DESCRIPTION AND/OR DRAWING OF
(To be filled in by individual
signature
Print or Type Name
Telephone Number .
t)