16660_RICHARDSON, EARNEST_19970529

IMP
CAMA AND DREDGE AND FILL
GENERAL
PERMIT
�d
i
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 'T✓��W1.- " !�'f"r�c" Phone Number z r r'
Address %'7
City State State r+'.✓G zip
Project Location (County, State Road, Water Body, etc.) (i,1r. - t/c, - t/22.
rV
Tyne of Project Activity
PROJECT DESCRIPTION SKETCH
/I(SCALE:
Pier (dock)length
4
Groin length
number
Bulkhead length
max. distance offshore —+—
Basin, channel dimensions
cubic yards r Cain
Boat ramp dimensions
Other �e
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.
u J applicant's signature
permit officer's signature
r 1 2`1-l?
issuing date expiration date
attachments &-? E1 • % iG V
application fee

WINDBORNE ENTERPRISES 66.30/531
GEORGE N. PERRAULT 278 283
SS
N 278-40-0803 PH. 919-447-5142
103 HUGHES LN. - !_rL•¢Y �Br19.�
NEW BERN, NC 28560
PAYTO IH /,1 e /\ !/ ` /
ORDG OF__ C1/y�Y__/P s f cq,�5)n
DOLLARS
PFIRST CITIZENS —
BANK D /� FInte Cillz ns Benk 8 husl Company
�11 �1� Havelock, N.C. 28532 I
roR 1r"45C1Lf1T- WALL D/6 o1_
l:0531003001:271379052590 0283
Sh.meld WDSF

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIF,R/UNCOVTRED BOA7- LIFI)
I hereby certify that I own property adjacent to Ct�tiJ�S'C" IC_N /� (ZSp►J
'S
(Name of I'roveily Owner)
property located at 4Z-2-
(I,ol, Block, Road, etc.) — r-- ----- --- - -
on Ni'US� �C� in
— ..t�oL)L-) r -- - — -- N.C.
(Water body) ('Town and/or C:ounly)
He has described to rnc, as shown below, the development he k proposing at 11111
location, and, I have no Objections to his prOtx>sal. I understand] that a pier/uncovorcd hOat left
must be set Dark a minimum (listance Of fifteen fe('t (15') from my area Of riparian access unl(-s.e
waived by mc.
I du nc)f wish to w;yiv(• Ihv setback rcquiwinent.
I do wish to waive that setback re(luiroment.
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(To he filled ill hY individual p1r)po.Sing develapnren!)
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Telephone Number
Date:

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIF,RIUNCOVIs'RED BOA7' LI -1)
I hereby certify that I own property adjacent to �_-�� S j jZieNA�.S
(Name of I'ropedy Owner)
property located at 'Sp
(Lot, Block, Rond, etc.) ------------ ------
on NC--USC-- i
('Town noel/or County)
He has described to rite, as shown helow, the development he is prolxtsinK at that
location, arid, I have no objections to his I�rolxlsal. I undorstand that a pier/uncovered boat lift
must he set hack a minintttrn distance of fifteen foot (15') from Illy arra of riparian acc•e•ss unle•s.e
W'.11ved by rile.
I e1u rwt wish to waive• the setback rcquircrl►ent.
I (IU wish to waive that setback requirement,
---------
DF-SCRll"I'ION ANDMIZ DRAWING OF PRO1%OSI,1) IMINEl,OMUN'1'.
(7cr he filled in hY indiri,111,11 h1r)1)j)sing delIelopment)
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Print or TYpe- Name
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Telephone Number
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Date: Z v p-i A--i t 9"1' 7