HomeMy WebLinkAbout16664_MIDGETT, JAMES_19970605a
CAMA AND DREDGE AND FILL 016664
GENERAL
PERMIT r
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 ~' 1-- -+` Phone Number
Address_ —
City State Zip
Project Location (County, State Road, Water Body, etc.)
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Type of Project Activity
11
PROJECT DESCRIPTION
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
SKETCH �. T A
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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.
U ru., m t Sq Ftf1 Q)) U 4 I t
i applicant's signature
fit .,• •� t.,f-? C/ ' � mod_ �t r,�
permit officer's signature
i7
issuing date expiration date
attachments
In issuing this permit the State of North Carolina certifies that `, t ,•;
this project is consistent with the North Carolina Coastal application fee
Management Program.
JANE M. HARVEY 2365
NCDL 2096968 SSN 246-68-0163
P O BOX 154 728-7740 66-152/531
BEAUFORT, NC 28516 / _ PAYTH
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ORDE F Y 1 � N, s QQ —
ORDER OF ..LLL--/// I 1 � _ � D
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Oalelle on Mck.
Wachovia Bank of North Carolina, N.A.
Bcaufom NC 28516
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PROPOsE.D Pi ER
TAYLORS C REEX
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Fo R
WiLLIAM S. WCS-r
110-7 FRON T 5 7:
BEAUFDRT, N.C• 2BSIG
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
I hereby certify that -I own property adjacent to
rv\ P S A c 4 f I Is property
Name
located at 1 '7 0 1 �, -t-- , on
Lot, Block, Road, etc.
l n� k4 (GI - � C i f i� in
� 1.� �� � , 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 pie: must be set back a minimum
distance of fifteen feet (151) from my area of riparian access
unless wai,.: ed by me.
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
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Name
11� -7z E3 I-:� vS
Phone Number
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