7867_STRAUSBAUGH, LEE_19901213

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CAMA AND DREDGE AND FILL 7867
GENERAL vL, C � �
PERMIT j�7.£`,t.
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
Applicant Name Phone Number
Address
City.
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION SKETCH
Pier (dock) length '
:J
Groin length w—
number
Bulkhead length
i
max. distance offshore _
9
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
State _
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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,
h
applicant's signature
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's signature
I permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that 1) this pro-
i 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
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
application fee
h Management Program.

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ADJACENT RIPARIAN PROPERTY OWNER. STATEvou
I hereby certify that I own property adjacent to r. L && 4 °s
property located at S '�-/ 1OXJ Z— 0 f
/1 ��J (lot, block, road, etc. �/ Q
on l�l�/t/. G /7`/E'O (CriRR}UG�C Q ) in 6q/�PrIEL/J /71iMP10/ n FJ&At
(body of water) (town) —
North Carolina in T- T County. The proposal has been described to me as shown below;
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the development, a6 ier ulkhead structure, and the proposed location, and I have no
Tire e one)
objections to the proposal. I understand that if the development is a pier, it must
be set back a minimum distance of 15 feet from my area of riparian access unless waived
by me. I do/do not wish to waive that setback requirement.
(circle one)
Description and/or drawing of proposed development: (to be filled in by individual
proposing development.) INDICATE THE SIZE AND LOCATION OF THE STRUCTURE AND THE
DISTANCE BI;` /gEEN EFACH PROPERTY LINE AND THE WATER.
i n
f `75 Ot Re-p4aLiAlj eA15'
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(Original must be retained in the Inspection Department)
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Name (Please Print)

ADJACENT RIPARIAN PROPERTY OWNER STATFmENC
I hereby certify that I own property adjacent tAr Lem S tra-vy ba-y-3 h is
property located at s�G�/D AJ c; o C,4RM V/Y4 lDr-
(lot, block, r ad, etc. .//
on 12141VI9G C19,�q L a in to I-Aw o P & r xV
(body of water) T (tom)
°forth Carolina in 1- ee County. The proposal has been described to me as shown bel:;w;
CARVeiv
the development, a pier ulkhead structure, and the proposed location, and I have no
(circle one)
objections to the proposal. I understand that if the development is a pier, it must
be set back a minimLn distance of 15 feet from my area of riparian access unless waived
by me. I do/do not wish to waive that setback requirement.
(circle one)
Description and/or drawing of proposed development: (to be filled in by individual
proposing development.) INDICATE THE SIZE AND LOCATION OF THE STRUCTURE AND THE
DIS^lANCE BETWEEN EACH PROPERTY LINE AND THE WATER.
o� 44&CIA16
r,,giArLEL ,
1
D F � � l S r / iV �, lac � •�"
(Original must be retained in the Inspection Department)
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a ure
K—
Name (Please Print)