7952_WARD, DAVID_19910411

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Applicant Name
Address
City ��^^
Project Location
Type of Project
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CAMA AND DREDGE AND FILL CSZ4,., -� C7052
GENERAL /07.0-,- ref
PERMIT ri
as authorized by the State of North Carolina,
Department of Natural Resources and Community Development an the Co t�l Resources Commission
in an area of environmental concern pursuant to 15 NCAC 7 `
Phone Number
PROJECT DESCRIPTION
Pier (dock) length
SKETCH
C
(SCALE:
S &-"4)
a
rJ W
�l t
Groin length.
number
Bulkhead length
max. distance offshore
Basin, channel dimensions,
cubic yards
Boat ramp dimensions
Other
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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,
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 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.
applicant's signature
V
permit officer's signature
't"//— 7/
issuing date
attachments % 77 9 l y e lJ
expiration date
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
application fee -0 7 , 0 �/

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A'PE'R)
I hereby certify that I own property adjacent to
property located at )60 y / / I -'� Ce.Iai / i
(lot, block, road, etc.)
on lLVV in �_�!_�"/ , N.C.
(water body) (town and/or county)
He has described to me as shown below the development he is proposing
that at that location and I have no objections to his proposal. I
understand that a pier must be set back a minimum distance of 15 feet
from my - arian access unless waived by me.
I do do not wish o waive that setback requirement.
(circle one
Description and/or drawing of proposed development: ( to be filled in
by individual proposing development)
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Sig ture
Ka.,,/ Turocr
Name
R (9 5�0- 5-9 9
Phone Number

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A BMW)
I hereby certify that I own property adjacent to�tMK.I&M LJ7149�0's
property located at Ay
(lot, block, road, etc.)
on 16a/ in CJWgJ?C-r , N.C.
(water body) (town and/or county)
He has described to me as shown below the development he is proposing
that at that location and I have no objections to his proposal. I
understand that a pier 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:
by individual proposing development)
C�
�O
( to be filled in
Signature
Ca?bL\114 R 4-7-1�lS
Name
Phone Number

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