21133_ADAMS, CONNEY A_19990105

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CAMA AND DREDGE AND /Wtl
FILL
GENERAL N: 021IWc
(,
PERMIT ?Pt40A� C(3
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 I b I It. 1 6-1 ti. 1300
Applicant Name M Phone Number
Address
City State Zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
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PROJECT DESCRIPTION
SKETCH
(SCALE: )
Pier (dock) length JET• I.
[\> (y CLTtki .7A
it
Groin length
�C > (2�iV
number
!
Bulkhead length
max. distance offshore
Basin, channel dimensions
t
- NvJL
FY ryn,g: ;30Ar a -IMF
(± IZFT-.',?o—tr.)
cubic yards
Boat ramp dimensio s
Other 5E[:r
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INTO Ca(aN>'c>✓.
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.
applicant's signature
permit officer's signature
issuing date expiration date
attachments 0)-H
application fee

66-301531
CONNLY ALEX ADAMS NCDL 3426280 471 344
50 N DAWN ST PH 919-249-2477
MERRfTT, NC 28556 Date ` _ 5
Pay to the k %l
Order of ly
moo, o
Dollars t a ,..,„,,,�
F)RST CITIZENS471
13AI�I �I First -Citizens Bank &Trust Company
ll ��II K "b—, WC, 28515
For tti`7��{t1� GPctt:_.)_11S3 2J14
1:0 5 3 100 300I: 4 7 17 5 19 ? 9 6ii'00 3 L. 4
O Parke Amenc<�
GUABUIANASAFETV BLUE WBL

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Connly A. Adams
50 N. Dawn Street
Merritt, NC 28559
Phone: [phone]
TO WHOM IT MAY CONCERN:
-`.
I_ 1-16�1 GIVE APPROVAL TO CONNLY A.
ADAM , FOR THE CONSTRUCTION OF A SEA WALL ON THE
AJOINTING PROPERTY AT PARAIDISE SHORES.
ON THIS DAY OFZ,,�zl , 1998.
SIGNED L
'
DATE

Connly A. Adams
50 N. Dawn Street
Merritt, NC 28559
Phone: [phone]
TO WHOM IT MAY CONCERN:
GIVE APPROVAL TO CONNLY A.
ADAMS, FOR THE CONSTRUCTION OF A SEA WALL ON THE
AJOINTING PROPERTY AT PARAIDISE SHORES.
ON THIS DAY OF / ) i--:) , 1998.
SIGNED /1 PG2 ti�
DATE / 2- / --I `l7 l

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to (��n n / 's
(Nade of Property Owner)
property located at PC, ro d i . S4-- Sh D r2 S ,
/� J (Lot, Block, Road, etc.)
on l (_D/�Q l � JI fit^ r i j- , 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
piling s/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.
FEB 0 4 ]ggg
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
`'� " ` �i �.;'►.► ®�' �', 'fin � � � . -
i
Lq
Signature
o bey ©v
Print or Type Name
Telephone Number
Date: , " — --. � / / Z' 2 2

ADJACENT RIPARIAN PROPERTY 0XVNER STATEMENT
I hereby certify that I own property adjaccent to is
(Name of Aroperty Owner)
prperty located at �o�,r'I �,� S� S �1 pre,s ,
(Lot, Block, Road, etc.)
on Te-e. C—cP,rc,� , in '(1(1 e.V 4r ;1 , 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.
DESCRIPTION AND/ OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
—D a
wY
----------------
Signature/ Date
Print or Type Name
Telephone Number
FEB 0 4 1999

ADJACENT RIPARIAN PKOkRTY OWNER STATMENT
I hereby certify that I own property adjacent to Co n ,s
(Name 6f Property Owner)
property located at ���` ► c\% s P" S ��� 4,S
(Lot, Block, Road, etc.)
on , in 6 5 `, , N.C.
(Waterbody) (Town an 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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
Sig re
Print or Type Name
%1/7- oo
Telephone Number
Date: / - �'7 FEB 0 4 1999