21087_HARDER, JOHN W_19981125

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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 i/Co f . r zoo
Applicant Name /e'>#/-1 W, Pf_A(
Address 7",* �f
City State
Project Location (County, State Road, Water Body, etc.) ����✓n� t��
Type of Project Activity
PROJECT DESCRIPTION
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensionsT
Other
SKETCH
Phone Number
zip
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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.
ruo/c1�
Ur applicant's signature
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permit officer's signature
dn
issuing date expiration date
attachments
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee /1 SU /j�'�� V
Management Program. j
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JOHN W HARPER 10/90
NCDL 2336423, PH 726-6331
PO BOX 608
ATLANTIC BEACH, NC�48512
Pay to the
Order of
66-30/531
133
7 Date
FIRST CITIZENS-
.
F st-Citizens Bank &Trust Company
AtlarRic�ea N.C. 28512
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For op7-C — - --- — --
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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WA IV, ER FORM
Name of Individual g
apP1Y in for Permit: t % "~� . l "
Address of Property: 00, CAU6 ev)a4) )U-
A\+1MVC,, 6CAS AJ C CA 4)2-1-
(Lot or Street #, Street or Road, City & County)
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter.
uJec ions to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, Hestron Plaza II, 151-B, Hwy. 24, Morehead City, NC, 28557 or call (252) 808-
2808 within 10 days of receipt of this notice. No response is considered the same as no objection
if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be
set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you
wish to waive the setback, you must initial the appropriate blank below.)
o wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Signature Date
Print Name
Telephone Number With Area Code

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGS/BOAILIFT/BOATHOUSE)
I hereby certify that I own property adjacent to ��I`� w1`�� 's
/`� (' (N e of Property Owner)
property located at 131 v t� V �� I�
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(Lot, Block, Road,,141
etc.onCA� 6 � Pffi Q. &d , in C, " � 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/boatliftlboathouse 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.
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DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
t (To be filled in by individual proposing development)
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Print or Type Name
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Telephone Number
Date: 1 I