HomeMy WebLinkAbout22389_GOAD, ALLEN M_19990629O
CAMA AND DREDGE AND FILL `" C 01
GENERAL N9 22389
PERMIT C A z, , E,2
�s
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 F 1 6" L` � - ��i) Phone Number =1 '`'t I � -c,'S
Address
City State C Q C, Zip �i -7 4 i Z
Project Location (County, State Road, Water Body, etc.)
i Iry 7'Y ,r._ �r�r�)_''� t T�r'1 t.�f ��J 1 �) C nJ (SO-
Type of Project Activity w c �- c nZc r 2 i ; 1 2 ,_ - c,f - t r= � 7 �--r ,ti C:'X t
PROJECT DESCRIPTION I SKETCH (SCALE: �� )
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
12F� ,rt"ZFi ,
y.h; :., , ��t- r ANC,' _,( y
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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.
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F,( I ;n 41
i
applicant's signature
t
permit officer's signature
issuing.date expiration date
attachments �—I- 1 C40
application fee �� OU 7
I15POATES
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ST/J ERV CE® 1'O S'i11L MONEY ORDER ST
-900 `.
83633040077 `'j ,i;w k:a 1-i; ►.i 0
SE RIAL NUMBER YEAR MONTH, DAy�
hh POST OFFICE U.S.DOLLARS AND CENTS
PAY TO J
y� CHECKWRITER
IMPRINTAREA $^1J1 5r3 111 1L� I III,II
i j�ll I I I...1�ADDRESS I «Fj•�a
ADDRE
: C.O.D. NO. pR r
'USED FOR
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EGOTIABLE ONLY[N T E•U.& AND POSSESSIONS
� C]0000800 2�: 8 36 3 30400 7 7np
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REPS "M N- Vl- tTy elVNER STAIMUT43,
WOR A ATE, YFRED BO,4 �r,[,j FI)
Ir
ViU I UWM PrOP—Vzy SAY,4,;C�A 0
PrOPItF -ly Ir--., led (Name � �6wej)
f (IOtq BI etc.)
4V
in
(T4 I anddor Oulity)
He 14-s rlmrjbL-d to ine, as shown Vow, thr-, d
Ir-Catic;"I. %lo, I have. '-2�OPUerit fie is proposing at that
10 Objections to his
must be pack a 7 PrW�..,A. I olliUstand tbatapier/uncovered beat lift
df i'lluM distance of fiftm-n fvet, (151) ,wi, - y
ac=ss tpje-km
w;--Q—nfll wish o waive the
LLQ wish to waive that setback
- - - - - ----------------
'MOlS AND'OR DRA'VrN44 DEVEIAjpxfEM:
S(7 (To be filled in by indjjjijjf: =i '
*Velopment)
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Dint -o—rTy—pe Name
11 -r'- + 6 - �; 'i 3
�Q- iih 'on e—Number
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C
ADJAC,� RIPARIAN PROI'liRT'Y OWNERSMATTAIYA`T
01 R .A PIERIUNCC. `. ERED FOAT Z,1M y/' _ p�
I hereby certify that I own �%�/ 4, J v
Prh' ada :t to.
(Name of Property O bvnel.)
Property located atf—
t,
on
u
in �-
(°Jaterfi��y) N.C.
own and/o C ,
County)
He has desE M :,, to me, as shown belts, the development he is proposing at that
location, and, I have no objections to his proposa . I understand that a Pie*/uncovered boat lift
must be set back a miYj „e,n distance of fifteen fef�t (1S,) from my arm of riparian access unless
waived by i.ne.
oh to viaive the setback x-equirement.
to waive that setback iimme
reQ nt.
DES SON AND/OR DRAWING (IF PROPOSED LE �r
(x'o be filled in b PMEN'I':
ndi '"u"rl proposing development)
Q ropy, ed
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v
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Priat or Type Name
Telephone Number
Dato:
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