7955_WALTON, GEORGE_19910415

5
CAMA AND DREDGE AND FILL 7955
GENERAL C
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 2 H 1 a 6 0
Applicant Name
Address
City-
Project LocAtign (County
J ter Body, etc
n
Phone Number 7 Q 7 k
tate 4e ( Zip
Type of Project Activity es / (/
PROJECT DESCRIPTION SKETCH I6 i� �^ (�jQ (SCALE: �I )
Pier (dock) length
Groin length.-
�. 30(
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
(U
P-�
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 pr(4ect 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.
• fit,/
applicant's signature
D
permit officer's signature
0-�s-9 / �-/C,-7/
issuing date expiration date
attachments � 4 ( ) /% � a 00
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
application fee � • D D

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
1 I hereby/ cee�rttiffyy that I own property adjacent to property owned by Z
i7��%Y�� , located at 12
(applicant) (stree ad ress)
onin 2mcq7 1 N.C.
(block #, lot #) (water body)
He has described to me the development he is proposing at above location and I have
no objection to this 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. do do not
(ci cle one)
wish to.waive this setback requirement, should it be requested.
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- Description/drawing (done by the individual proposing project) of the proposed project.
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Printed name
Street address
0-rL- L �� 'C— cV�
City, State, Zip
i
Phone

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
hereby certify that I own property adjacent to property owned by
located at
(applicant) street address) 15 ea C-4
on 11ad _� Cf- le —IC in e , N.C.
(block #, lot (water body)
He has described to me the development he is proposing at above location and I have
no objection to this proposal. I understand that a pier must be set back a minimum
distance of 1S feet from my area of riparian access, unless waived by me. do not
le one)
Q�roc
wish to waive this setback requirement, should it be requested.
Description/drawing (done by the individual proposing project) of the proposed project.
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Printed name
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Street address
City, State, Zip
Phone
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