16934_JORDAN, RODERICK_19961125

CAMA AND DREDGE AND FILL
GENERAL
®1604
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC
Applicant Name i C ,'j ` t , y,v� ,, .�.,
Phone Number i a
Address w (' /� _ -� -> 2
9
City
State
r
zip ; 7 ! '2 . L/
Project Location (County, State Road, Water Body, etc.)
1P
`'
n
P/
Type of Project Activity
9'4
PROJECT DESCRIPTION
ty
Pier (dock) length W/ r
SKETCH` t•c /� �'� U� ' (SCALE:
d -
.7
.._
° ~
I
0
{
t
)
%
Groin length
number
Bulkhead length
i
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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
permit officer's signature
issuing date expiration date
(-X c- ,7/`/ / �
attachments
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
ftA.
application f Gr . i� �

PROFESSIONAL SURVEYING
P.O. BOX 261 PH. 919-728-2202
HARKERS ISLAND, NC 28531
1289
I ZS J� 66-85 / 531
TO THE
PAY DATE -I
ORDEROF �
I $ Via?
No roc:)
DOLLARS 8�
Centura Bank_
Tarboro, NC 278% ^,
FOR G Po,-1h q �y K j®Rdl cx
11'0000 L 2B9114 l:0 5 3 L008 50i:086 17 58 5 5 AP

• DESCRIPTION OF WORK
1) REMOYE EXISTING DOCK, RELOCATE DOCK WITH NEW CONSTRUCTION.
2) NEW DOCK TO BE LOCATED AT LEAST 10'EASTIIARDLY TO MEET RIPARIAN SETBACKS.
3) NEW DOCK SHALL BE THE SAME LENGTH AS THE OLD DOCK
4) NEW DOCK SHALL HAVE 20'X 25' PLATFORM WITH BOAT LIFT ON THE EAST SIDE.

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
I hereby certify that -I own property adjacent to
RODERICK JORDAN 's property
Name
located at 128 PELICAN DRIVE, HARKERS ISLAND, NC , on
(Lot, Block, Road, etc.)
BACK SOUND in HARKERS ISLAND, CARTERET , 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 DEVELOPPIHNT)
ignature
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Rame
Phone Number

1 JOl1- -1996 1 : 01 FROM PROFESS I Of lHL SUPI)EY I NG
TCi 19103236156 P . C-11
I hereby c
RODERICK J
located at _
p2a c It
go'gi S
ater B
He has descr
tify that -I own property adjacent to
DAN •s property
28 PELICAN DRIVE, HARMERS ISLAND, NC
(Lot, Block, Road, etc.)
on
in HARKERS ISLAND, CARTERET N.C.
(Town and/or County)
to me as shown below the development he is
proposing at tha Location and I have no objections to his
proposal. I and rstand that a pier must be set back a minimum
distance of fiftoen feet (15') from my area of riparian access
unless waived by1me.
1
I do not wish to waive that setback requirement.
_ I do wish to waive that setback requirement.
1
Description and/or drawing of proposed development: (TO BE
FILLED IN BY IND DUAL PROPOSING DEVEI.OP"XNT)
v
ignature
Nam
Phone Number
TOTHL P.H1