18533_TOWN OF INDIAN BEACH & PHILLIPS, GEORGE_19980209

CAMA AND DREDGE AND FILL 1 /
GENERAL .Q; 185133
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
Address
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION SKETCH
Pier (dock) length
'9
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
( s.
i
State
Phone Number
Zip
This permit is subject to compliance with this application, site
drawing attached and specific conditions. Any
and general
'
violation of these terms may subject the permittee to a fine,
9
applicant's signature
imprisonment or civil action; and may cause the permit to be-
k i
come null and void.
11 1 i __J "'—
1
This permit must be on the project site and accessible to the
L \, 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
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 fee
Management Program.

TOWN OF 1NDIAN BEACH
p. O. BOX 306
SALTER PATH, NC 28575
PAY
u TO THE
y ORDER OF
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sowary bemres
DOLLARS �'DB1:°betla 5.
THIS DISBURSEMENT
AS BEEN APPROVED
OCAL GOyERNMENT
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FOR �� 3 .:i•0 5 3 L00 300i: L 3 12 L 39 5 5911'
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NP

I hereby certify that I own property adjacent to Town of Indian Beach
property located at State Road 1192, Beach Access Vehicular Ramp ,
(Lot, Block, Road, etc.)
on Atlantic Ocean in Indian Beach ,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.
DESCRIPTION AND/OR DRAWING OF PROPOSEDEVELOPMENT,
(To be filled in by individual proposeing development)
PROPOSAL: To bulldoze sand approximately 25 feet on each
side of access ramp for a total of 60 linear feet.
i
Sig ture
Print or Type Name
Telephone Number

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Town of Indian Beach
property located at State Road 1192, Beach Access Vehicular Ramp ,
(Lot, Block, Road, etc.)
on Atlantic Ocean in Indian Beach -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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposeing development)
PROPOSAL: To bulldoze sand approximately 25 feet on each
side of access ramp for a total of 60 linear feet.
Sign ' e V
Z ,� �� h r-��" ,J
Print or Type Name
1�/IQ- Zy4,7 - Z_/r.3�
Telephone Number

WADEL
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