10752_Robert Coats_19920410

Applicant Name
Address
City
Project Locapigh (C
LAMA AND DREDGE AND FILL
GENERAL
C c �
PERMIT l��� or-� �-� • ����
1 a5
as authorized by the State of North Carolina R--,
Department of Environment, Health, and Natural Resources an` fb0 tal Re oyr�ps�C rr ssion
in an area peironmXentaoncern pursuant 15 NCAC
Phone &Vr / fc
unity, S� Roa,.f ,,Watgr Bok, etc.)
Type of Project Activity
State s% L_ . ` � Zip
PROJECT DESCRIPTION SKETCH (SCALE:
Pier (dock) length
Groin length)/
number Y /.
Bulkhead length
ax. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other _,')
Q
F%
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 he
permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that 1) this pro -
is consistent with the local land use plan and all local
ances, and 2) a written statement has been obtained from
adjacent riparian landowners cer l ying t � have o
objections tot .
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
cant's signature
permit fficer's signature
/ issuing date expiration date
attachments
application fe

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
I hereby certify thatI own property adjacent to
Kc) 6 (2321- C-CC-1 J-1-s Is property
Name
located at co< 1�s E 96 LL on
(Lot, Block, Road, etc.)
in 0- , N.C.
(Water Body) (Town and/or County)
He has described to me as shown below the development he is
proposing at that location and I have no objections to his
proposal. I understand that a pier must be set back a minimum
distance of fifteen feet (151) from my area of riparian access
unless 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)
Signature
Name
373- 9/30
Phone Number

r , - GENERAL PERMIT APPLICATION INFORMATION
APPLICANT'S NAME:
I_y�jff> ( j
C--rs
_
(First)
C%
(Middle) (Las)
G ADDRESS:
(� C.� L—,
CA 'Pi L Ln
(PERMANENT)Zos
JJ '' }} 11
STATE O L- ZIP c�--7 G 03
TELEPHONE:
WORK () -7 • 79 C} ba S
HOME
CONTRACTOR'S NAME:
�-�2 P-Jr
to BLS N Y l�Zl e _, 6
TELEPHONE NUMBER TQ
PROJECT LOCATION:
N.C. Hwy. #
SR #
Road/Street Name Bcz LL S +-
Waterway Name
�_�_,��� County -
Town ��t�G�12
r a sJ+
Subdivision
PROJECT ACTIVITIES:
PIER: Total dimensions of pier from MHW to platform
(Length) (Width)
'T' or 'L'-head platform
(Length) (Width) (Number of Mooring Piles)
Water depth at end of pier
n�1
OT HOUSE/BOAT LIFT: Length 0-C-0 /
Number of Piles CD
BULKHEAD: #1 Total length
Average distance waterward MHW
Maximum distance waterward MHW
#2 Total length
Average distance waterward MHW
Maximum distance waterward MHW
RIPRAP: Total length
EXCAVATION: [MAINTENANCE 'ONLY']
Length
Width
Number of Mooring piles
Width / lO
Water Depth 4L, m, L .j ,
Base width from MHW
Depth of Cut
Adjusted water depth on MLW Existing water depth(s)
Estimated Cubic Yards (length x width x depth/27)
Type of spoil: Sand Mud
Dragline Backhoe Hydraulic
OTHER STRUCTURES: