22339_FENTON, BOB_19990726

CAMA AND DREDGE AND FILL
GENERAL N22339
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
Address
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
Phone Number
State Zip
PROJECT DESCRIPTION SKETCH (SCALE: )
Pier (dock) length
Groin length
number `� ~
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
�_ �✓ L I r,f .
Other
I -
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.
attachments
application fee
applicant's signature
permit officer's signature
issuing date expiration date

Personal Account Information
I hereby certify that I own property adjacent to -So 0 �2 n �—o n
I
(Nam
e
amm
e of Property Owner)
property located at 11 ' S c n CA-
(� (Lot, Block, Road, etc,)
on Co �F J Oil �1� , in ��e ck.- Le— �'� , 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.
4_0 ,
j� I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
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DESCR=ON,OR RA`NIN. G OF PROPOSED DEVELOPNfENT:
(To 'n by individual proposing development)
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Signature
Print or Type Name
Go d - 6�2- �2��
Tel�phort;,/h'umbe,
Date: b