21059_FISCHER, DONA_19981120

CAMA AND DREDGE AND FILL
GENERAL
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 Phone Number
Address
City State Zip 7
,air G�)
Nti' 021059 --
rCY
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
SKETCH y (SCALE:
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
I permit officer's signature
issuing date I expiration date
attachments
i3P5 T
application fee

DONALD FISCHER 66-112/531 1609
MARGARET FISCHER 5110078007
319 HOLLY LN. SOUNDVIEEW
NEWPORT, NC 28570 0111
,P2301/ BUT
4408 ARENDELL STREET c �AS
M2jT-HEAD CITY, NC 28557
1:0 S 3 10 L L 2 0: S L L00 7800 7110 1609

ADJACENT RIPARIAN PROPERTY OWNER STATEMMIff
(FOR A PIERIMOORING PILINGSIBOAMIFT/BOATHOUSE)
I hereby certify that I own property adjacent to ts
`��ame of Property Owner}
property 1 ;;�,;at
(Lo , Block, Road, etc.)
on inLzzd�ri;�_ N.C.
aterbody) wn and/or County)
ORdescribed 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 b*aoathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparis 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)
, —
_D
Print or Type Name
z --
Telephone Numb&
Date: ��

ADJACENT RIPARIAN PROPERTY OWNER STA
(FOR A PIERIMOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to L J
property located at
(Lot,
on ��i�l�i�a j�' ,
(Waterbody)
(Name of Pr� rty Owner)
BVbck, Road, 'etc.) �J,1
in fI `- 44v/ , N. C.
(T 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
pihngs/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)
. Q11 4aL2�4
Signature
HAl?1i 1-U6Gl4y tT
Print or Type Name
251- K6�- 2J f
Telephone Number
Date: % b h

Locality Permit Number
GENERAL INFORMATION
LAND OWNER
Name !b .r
Address (Cl � i_ L,� i !� - \ <) U A J 3 d , t,:1 C `_.
City _T� Cu bti-T State Zip ?-f-5 '�U
AUTHORIZED AGENT
Name
Address
City
LOCATION OF PROJECT
State Zip
(If not oceanfront, is waterbody natural or manmade?)
DESCRIPTION OF PROJECT
e r (Y-D c X
AREAS OF ENVIRONMENTAL CONCERN (AEC) CLASSIFICATION
(To be filled in by the Local Permit Officer prior to completing application.)
Ocean Hazard Estuarine Shoreline ORW Shoreline
PROPOSED USE
Residential Commercial/Industrial Other
SIZE OF BUILDING IN SQUARE FEET
Qr
Phone
/%kh -fD
Pb ry,()o,
4-P, R ea, f-V U�Z
6� q (0
Other
Size of other impervious or built upon surfaces (such as driveways, etc.) within 75 feet of the shoreline (575 feet
of an ORW shoreline)
SIZE OF SITE IN SQUARE FEET
OTHER PERMITS MAY BE REQUIRED ...
The activity which you are planning may require
permits other than the CAMA minor permit you
are applying for here. As a service we have com-
plied a listing of the kinds of permits which might
be required. We suggest that you check over this
list with your Local Permit Officer to determine
which, if any, of these may apply to your project.
This is not a requirement of CAMA, only a sugges-
tion to help you complete your project as quickly as
possible.
Zoning, Drinking Water Well, Septic Tank (or other
sanitary waste treatment system), Burning, Electri-
cal, Plumbing, Heating and Air Conditioning, In-
sulation and Energy Conservation, FIA Certifica-
tion, Sand Dune, Sediment Control, Subdivision
Approval, Mobile Home Park Approval, Highway
Connection, Others:

APPLICATION FOR
(v� CAMA
p � MINOR
DEVELOPMENT
PERMIT
In 1974, the North Carolina General Assembly passed
the Coastal Area Management Act and set the stage for
guiding development in the fragile and productive areas
which border the state's sounds and oceanfront. Along
with requiring special care by those who build and
develop, the General Assembly directed the Coastal
Resources Commission (CRC) to implement clear regula-
tions which minimize the burden on the applicant.
This application for a minor development permit under
CAMA is part of the Commission's effort to meet the
spirit and intent of the General Assembly. It has been
designed to be straightforward and require no more
time or effort necessary from the applicant. Please go
over this folder with the Local Permit Officer (LPO) for
the locality in which you plan to build to be certain that
you understand what information he or she needs.
Under CAMA regulations, the minor permit is to be
issued within 25 days once a complete application is in
hand. Often less time is needed if the project is simple.
The process generally takes about 18 days. You can
speed the approval process by making certain that your
application is complete and signed, that your drawing
meets the specifications given inside and that your
application fee is attached.
Other permits are sometimes required for development
in the coastal area. While these are not CAMA-related,
we urge you to check with the Local Permit Officer to
determine which of these you may need. A listing is
included on page 2 of this folder.
We appreciate your cooperation with the North
Carolina Coastal Management Program and your
willingness to build in a way which protects the
resources of our beautiful and productive coast.
Coastal Resources Commission
Division of Coastal Management