22351_FLETY, WILLIAM AND SANDRA_19990929

7
III
CAMA AND DREDGE AND FILL Cod
GENERAL , 2'1'2:1351`
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
(-itv _ State
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
Zip
PROJECT DESCRIPTION SKETCH �, (SCALE:7.
)
1
Pier (dock) length
♦ " ,-
Groin length
number TT - . �l� 1�:t2'1�� L> 7� `J, 1�t`itii•✓ ,
Bulkhead length _ * y=. j -CR` - �- y G i� ✓.- �_�
max. distance offshore f
Basin, channel dimensions
cubic yards
W! k•; v.
Boat ramp dimensions
Other
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,
applicant's signature
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
I�
permit officer's signature
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
' issuing date ' expiration date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
1i
objections to the proposed work.
attachments
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
application fees-�_.--
Management Program.

BB-30/531 1731
William C. Fluty 005
Sandra M. Fluty
270 Thurman Rd DATE��
Beaufort, NC 28516 —01
PAY TO THE � s 5o•
OR ER OF Ir
� DOLLARS
Look r. Micro Print signature lint, gray type and
Iinmork. First Citizens Bank logo on back. If trot Present. do not cash.
DRST CITIZENS 005 Char
BANKFirst -Citizens Bank & Tr�``Cj� opr�.r pony '
Beaufort, N.C. 28 16 `j7 7d1C1T�3�-!
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FOR �JC�e Yet-.--
1:053100300I:000057698LIt"13 m 0173 L

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ADJACIENT RIPARLkN PROPERTY O)NrINER STATFAIENr
I hereby Ctrdffy that I own property adjacent to , �. �: --��Ae�
Ys
(Name ywner}
property locat:d at L 0 7
ot, Block, Road, etc.) '
on _ n Q2�{ GEC_, in��
N.C.
(�'aterbody} (Town and/or County)
He has descn'bed to me as shown below, :he deveiop,nent he is proposing at that location,
and, I have no objections to his proposal.
DESCRJIYUON AND/OR DRAWIIVG OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing developmegt)
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m
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-------------------------- -- -�--- -- ���S s� 5 Lc-7
Signature
)J,r �D- /C
Print or Typc Name
Telephone Number
Date; _ S Z )

1-�yU
y
ADJACENT RIPARIAN YROPERTY OWNER STATEMENT
�����.„�qPrpe��YOw�DeO
s
I hereby certify that I own propertyr adja=t to �,,.__-_-___.�'(N�e of
1 Z(� SAAII �
erty N�
proplocated at l-- ,
ot, Block, Road, etc.)
(Waterbody) (Town and/or County)
He has deem -bed to me W shown below, :he development he is proposing at thItt location,
and, I have no objections to his proposal.
DESCRIPTION AND/OR DRAWUiG OF PROPOSED DEVELOPMENT
(To be,nlled is by indlvidual proposing development)
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M riz-*+
5 ature
1
T R I E e- A14 p)-T3
Print or Type Na.,ne
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Telepbon: Number
Date: Ser-T Z I 9
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