23286_BALLENGER, F JACKSON_19990930

'?;A i;
f
CAMA AND DREDGE AND FILL IrV
GENERAL it p' 2 286 `"
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Comrt ission
in an area of environmental concern pursuant to 15A NCAC
Applicant Name
Address A
City >s
Project Location (County, State Road, Water Body,
Type of Project Activity
PROJECT DESCRIPTION I SKETCH
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
� i i '
,�t�`j ey-,-- Phone Number S 442--_ fl.f-- 56 /
State
etc.)
r�}
7�Cw a4ec ?FAS
�l
f c f� 4
, t-V 'v
Other`
Z:+bS sr �F
SLA 4 i l W
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
n
zips?/"V
(SCALE: �/I/—/
( i'-'�i���i
s
fh; `;7',�i-
t., 1-1 LJ
applicant's signature
lR' �
�j / / i permit officer's signature
%-30 "7 7
issuing date expiration date
attachments 6') , ,/• ,?Uu
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee � `�!
Management Program.

ADJACENT RIPARIAN PROPERTY OWNER STATEMLEMI'
(FOR A PIER/MOORING PILINGSIBOAT1.11-1'/I10A IIOUSF,)
I hereby certify that I own property adjacent to
V.: . �)At�L-"c,r--fL 's
(N:une or Property Owner)
property located at Lo-T- 3 i A 21 my 6'L-
(Lot, It:locic, Road, etc.)
on �-v-L-A0,-%L rj"K) , in �1�� x:v�� �NDI)-� P , N.C.
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development lie is proposing at that
location, and, I have no objections to his proposal. I understand that a pier/mooring
pilings/boatlifUboalhouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
1 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)
SAGS
---- ----- -------- ------------------------------------ -------------------------
Signature
- L • _ ss;z�-r _
Print or Type Name
_e23C4 —'71!)4 - 6 r 55
Tcicphcmc Numhcr ----- ---
�-------

ADJACENT R PAMAN PROPERTY OWNER STATEMENT
(FOR A PIERIA100RING PILINGSIBOATLIFTIBOATIIOUSE)
I hereby certify that I o",n property adjacent to oc(�
/ l (Naive of Pr erty Owner)
property located at w— / o� Z
(Lot, Block, Road, etc.) j
on �7, Gti 7`"i zyC 6'1 AZ in
(Waterbody)
Z=V 1(P C. * t2dj�/ro�'P5, N. C.
(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/boatlifL/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)
--------------------------------------------------------------------------------------\----------------------------
S-���irsignature
Print or Type Name
3 3 c, —1 --? L1 — 'r Z L-r L
Telephone Number
Date: 9 — Z 7 — �

01
09i29i 1ve 9 a i ©jo: I.*) V A 9 sa �1���rE 184192 TUEVRE
To Wham It May Concern:
T. Q. FW 00"TI AMM CO.. W—
PM OFFICE WX GW
MOPS" Crrr, NOON CAFIC W s3 U
I _ give permission tq.�.. �'1�owln�art+�sos to
act agent w my half in obtaining a CAMA General Permit to place sandbags as
a teinporiry erosion control structure in front of mpro erty locatod
in the town of 1 , L' _ -�.J
I have read the specific conditkms in 15A NCAC 7H.1700 and understand that by
receiving such a permit, I will be responsible for the removal of remnants of all or
partiorts of any damaged sandbags, and that the sandbags may remain in place for
up to two I five years nfler the date of pennit approval. Once the temporary erosion
control structure (sandbags) is determined to be unnecessary due to the relocation or
removal of the house, the bags must be removed within 30 days,
I Also understand that the removal of the sandbags shall not be required if they are
covered by dunes with vegetation sufficient to be considered stable sold natural two
years from pernti.t approval date.
Authorized Signature Date �,�° 5,�