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HomeMy WebLinkAbout19807_HERMAN, AL_19980413r �U CAMA AND DREDGE AND FILL1 e9l GENERAL 867 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 =A. Applicant Name — Address ' City Project Location (County, State Road, Water Body, etc.) Phone Number G- = y' ? ;,/ rq _ State % /1 Zip Type of Project Activity - "�rrri 3 n ,per % r� 17%" -•7`4r_ 1 PROJECT DESCRIPTION Pier (dock) length Groin length number Bulkhead length max. distance offshore Basin, channel dimensions cubic yards Boat ramp dimensions Other ST /R`a`Y ,i i A, . SKETCH .• GPI t� ' 1AK( / ICA r ` f r/ s� C> 4_-.----__ 1. La r - - -,. 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. (SCALE: �16 n applicant's signature —� permit officer's signature Z/-i3- 5'9 issuing date attachments Ti 711. T Z 6) r< expiration date In issuing this permit the State of North Carolina certifies that this project is consistent with the North Carolina Coastal application fee r ��'� ` /T Management Program. ADJACENT RII'ARIAN PROPERTY ONVNER STATEA1ENT (FOR A PIERIMOORING PILINGSIBOAMIFTIBOATHOUSE) I hereby certify that I own property adjacent to aUSiy Aa'n "4�V Ps (Name of Property Owner) property located at Z oT q (' _5 ea O 5 fQ _e r (Lot, Block, Road, etc.) / on �,t%% 7 �x�� L'�eek , in (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 pierlmooring pilings/boatlift/boathouse mint be set back a minimum distance of fifteen feet (15') from my area of riparian ac ss unless waived by me. I do not wish to waive the setback requirement. I do wish to waive that setback requirement. DESCRIPTION A.N1 `D/OR DRAVVM OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) -` LlUi6 -���J�, ger)MAAJ I --------{-----------------------------------i----------------------------------------------------- 9a� ------ I - �S,z - (k3� "� ��'1 i�1!/�;r ��fllC�/,��tl / Signatu e � r r e,-J u I A) � y jtl/ ._�d ; 1 % ` ` Print or Type Name i'lo x3? - Telephone Number Date: ,41� 1;2- cak;-70r; //a CfJ 931)/z 4417 COASTAL MARINE CONTRACTORS, INC. P.O. BOX 12729 PK 919-638-6407 NEW BERN, NG 28560 PAY TO THE ORDER OF f 66-112/531 DATE r l zJ 4-- DOLLARS k� Z) 701901 f3MT OIIAMLX 4MKIMO NYO TKIi! CO 375 TRYON PALACE DRIVE p / NEW BERN, NC 28560 FOR- (;�-P )a 019907-c- 11200004417ii' l:05310LL21i:5LL0L12698ii' 4. P