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HomeMy WebLinkAbout18720_SLACK, JAMES_19970806"Y- CAMA AND DREDGE AND FILL C` GENERAL 0,18720 PERM I T [Y 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 �°* ` -� a L - Phone Number Address LJ ` ti '� -r•�r. r �n U _e r City State Zip " k Project Location (County, State Road, Water Body, etc.) a" ` ' ' �"''ny r"_� t`! 7 C ! �� r` • i -°' Type of Project Activity ' PROJECT DESCRIPTION SKETCH �` (SCALE: ) Pier (dock) length Groin length number Bulkhead length max. distance offshore b Basin, channel dimensions � 4-h cubic yards Boat ramp dimensions Other ?' A f 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 C - 1tz attachments '"` 1P, In issuing this permit the State of North Carolina certifies that this project is consistent with the North Carolina Coastal Management Program. application fee jg. O[ack --------_---_ !Boris ;M. Mack-otbi 509606 5993 407 QLhaunei Mr. 919-354-3175 CmeraCD Nje, OC 28594 66-25/531 601 a�tat/fe H OU Na'fio s ank Carolinas a Carolinas N.A. C�eCUXe Ai4nhing CH,51omer CPC I��aO �:0 5 3 l00 2 58�: �--- - ��-----'� �l 60 i 54 284 2rr 5993 �OxW Amw4An Cdgmel Q--f. ® DECC it ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIERIMOORING PILINGS/BOATLIFT/BOATHOUSE) I hereby certify that I own property adjacent to J a�„�es Q . �•�ac%. 's (Name of Property Owner) property located at �l/I 8,y,y2. ! �r,✓.a. (Lot, Block, Road, etc.) on �QdS�C" r����,���-Q , in �s/..e -- Ca t-/eYe �. , N.C. (Waterbody) (Town and/or County) Re 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) u a Q sc ; S P� �-�'ca�L eKoal a� 4olec.�- a w a® C —7C 11;�hrl �l 42,j 141-q4: � 1-e z� ete?�&-wm& LQ —a 714 Signature- '4'4'1A1 ( ' -�r / f- '-v Print or Type Name 919- '7 - Ra)6 Telephone Number Date: � i / V % 97 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIERIMOORING PILINGSIBOATLIF (BOATHOUSE) I hereby certify that I own property adjacent to vh e s 7� . is (Name of Property Owner) property located at d �'��iv d� -2) 2, (Lot, Block, Road, etc.) on �Da3 `� ����C . in Z-wl e t a(Q - s — , 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) 4- 7 t&tvz T P P21 IS 5; eDU� /j 1-6,�� S Signature -P - ��L � � Gtsd � c� Print or Type Name Telephone Number Date: z 3�l