17053_ROMING, CHARLES AND SANDY FOLEY_19970409

CAMA
GE MRALND DREDGE AND FILL r �z �017053-LI
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 t �--% Phone Number i
Address
City:>t, State zip r'
Project Location (County, State Road, Water Body, etc.)
,...y 1. �,T =• I t;.1 e ' -... is b';.i 'S,.� n C�
Type of Project Activity �',4 i J..i<' K --1'--A c,.1� _may
PROJECT DESCRIPTION
SKETCH `� .� rA r"r Ic_ t G
(SCALE: )
Pier (dock) length
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#�?. r
{
'".
Groin length
number
Bulkhead length
1
V
max. distance offshore
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_
Basin, channel dimensions
,
cubic yards
Boat ramp dimensions
,
.'
Other
4
t
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.
f applicant's signature
b
Permit officer's signature
G� 9 , - i
issuing date pira ion date
attachments
uy-1_�`V
application fee s�� T

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
I hereby certify that I own property•adjacent to
Is property located at
(Name of PropertyOwner)
koT aJb g'C S
(Lot, Block, Road, etc.)
on fZ z n tiF- CRAo &� 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 must be set back a minimum
distance of fifteen feet (151) from my area of riparian access
unless waived by me.
t�
I
do
not wish to waive
that setback requirement. Vecl -
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I
do
wish to waive that
setback requirement. 13,j-11-4xe,
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled it by individual proposing development)
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Print or Type Name
LYS- 1ygg
Telephone Number