16923_MORGAN, JAMES M III_19961003

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CAMA AND DREDGE AND FILL
GENERAL r ? : 0161W-C
PERMIT
as authorized by the State of North Carolina r�
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC Ark✓• �/�{' '
Applicant Name r�`��' f `"'ter/< Phone Number
Address '�'r�"Kp/W A'
City AlIt:
Project Location (County, State Road, Water Body,
Type of Project Activity
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PROJECT DESCRIPTION SKETCH (SCALE: /Y�1I--e i
Pier (dock) length ( +AP A 4`.i
Groin length
number r•-
Bulkhead length
�Utktlr:r�l)
max. distance offshore ^`' 1f t Z
Basin channel dimensions -?'kit� ' t-`
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cubic yards`
Boat ramp dimensions --------- • �l -
Other—'•"' .�....,..--.Y..-.-.-"� ._--T. __st -._
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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.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
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applicant's signature
permit officer's signature
issuing date expiration date
attachments
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application fee
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JAMES M. MORGAN, III
6121 MUIRFIELD DR.
GREENSBORO, NC 27410
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ay to the
Order of
5310
�j 66-246/531
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SO,
NationsBank `
NationsBank, N.A. (Carolinas) Delux Banking Customer
Chapel Hill, NC 27514
For 0010 3-G
1:0531024631: 113449078112 5 10
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to
property located at
1,07-610
-r1M AoR�AA/ ,s
(Name of Property Owner)
(Lot, Block, Road, etc.) T
on Be Cs'!iX r;dJ00 , in ZM4 C 4K,9 N.C.
(Waterbody) (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/mooring
pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
I do not wish to waive the 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) �B
g6 7P oto"/(5�
(PUC
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LI/ AIPJD
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-�RE� S/MMoNS
Signature
r R a AE R IC,k 5
Print or Type Name
Telephone Number
Date: ,2- y SW /0 If Yd

ADJACENT RIPARIAN PROPERTY OWNER STATFADWr
(FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to U M. M'0 R G'r/9 /V 's
(Name of Property Owner)
property located at -4 D T 86
(Lot, Block, Road, etc.) D
on �D U� c D U�, in 5 m IQ 4 D� �.S4Z �/� l��C / , N.C.
(Waterbody) (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/mooring
pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
I do not wish to waive the 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)
Al Al 4 G
SIM M
L' �� ,j/MBE
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FnsEP 3 0 1M ;
------------------------ - - -----
Signature
C,lo'�LlfI �I. ImC��z
Print or
rrfTyypre Name
Telephone Number
Date: 2 y sE P / �? ?,,/,

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