18472_KENNEDY, SOL_19971007

�. new,,. "' ,• 7, ... ... .f..
CAMA AND DREDGE AND FILL Co�
GENERAL Q1`847
-1�
PERMIT
as authorized by the State of North Carolina
jy 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%G''" ='_S ,� "'s s'�A
Address
City State / zip
Project Location (County, State Road, Water Body, etc.) �' '' �' % " - �f"` �'• '' �' ` t
a. r
Type of Project Activity
erf.F ac. d� Y / V t /SA
_9
PROJECT DESCRIPTION
SKETCH
�#�c - �, p'N, cS
(SCALE`:,+� )
' rfir""_
Z [
Pier length �
! !Ji �+ •y �„i�" it U
i �, Ls 7 { ( �/ 1.
0 s.� i� 4 (t 54:r
(dock)
y
r
�
A SS,
Groin length
number
c-,f)tV C;%,/k-2.r`
Bulkhead length
t
%: c dl
max. distance offshore
Basin,.channehdimensions
a}
1
cubic yards 0
Boat ramp dimensions g°
Other
KC. NNt Vii f tQ P U Y
F.� /' A L
ti . J�guw. o✓ S ,� x7 i / rif'!)�vi., G,w�fC ~4SlsrsJ 1�t.
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.
t
applicant's signature
permit officer's signature
issuing date expiration date
attachments ma's
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
application fee

EROSION CONTROL SPECIALISTS 66-30/133 2827
ATLANTIC BEACH CAUSEWAY NCDL 8039839
P O BOX 3355 PH 919-726-2191 QQ
ATLANTIC BEACH, NC 28512 _ __[].__19r
PAY TO THE $©�
ORDER OF
----DOLLARSM"=1—
XRAN
T CITIZENS-
7! Firsnlic Bens Bank 8 Trust COmpeny
Allenllc Beech. N.C. 28512
FOR— ALiist 7X67P�7Z G nr
I:053L003 OI:131214853511002827

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
I hereby-certify'that.I own property adjacent to
�-
Name
's property
located at ` D v d c S on
(Lot, Block, Road, etc.)
caw r 0reeY. at -1 �`d�eNe Cove- in _ <2 'e, �u-/ , N.C.
(Water B dy) (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 must be set back a minimum
distance of fifteen feet (151) from my area of riparian access
unless waived by me.
r I do not wish to waive that setback requirement.
I do wish to waive that setback requirement.
Description and/or drawing of proposed development: (TO BE
FILLED IN BY INDMDUAL PROPOSING DEVELOPMENT)
f-avrticv coa'041 4eed book J3 � P e -� �
►`75' 3��
P I at+ book 6 7
S' nature 14
Name
Phone Number
q — - `t

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
I hereby certify that I own property adjacent to
'=� na_ n ,n is property
Name
located at ,I o a V-'4H e s Sr, on
(L t, Block, Road, etc.)
co -,Mr creek CLt- Mid�EL �'�in 0Y1'e,,-�-'( , N.C.
(Water Body) (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 must be set back a minimum
distance of fifteen feet (151) from my area of riparian access
unless waived by me.
I do not wish to waive that setback requirement.
I do wish to waive that setback requirement.
Description and/or drawing of proposed development: (TO BE
FILLED IN BY INDIVIDUAL PROPOSING DEVELOPMENT)
3S�
Pfaff- bovk- 6
Signature ( I
Name
Phone Number

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
I hereby certify that.I own property adjacent to -
S o l _!_� , a e c� Y?, /7K',e )n n N c, ' s property
Name
located at 1 d 3, J-{-odG e> Sf , , on
(Lot, Block, Road, etc.)
44/d � rf Co ve in 0 s-i,' Y)�a � , N.C.
(Water Bod ) (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 must be set back a minimum
distance of fifteen feet (151) from my area of riparian access
unless waived by me.
I do not wish to waive that setback requirement.
I do wish to waive that setback requirement.
Description and/or drawing of proposed development: (To BE
FILLED IN BY INDIVIDUAL PROPOSING DEVELOPMENT)
�eco-r4 ed ', (teamIrGo Coccn`� deed book / 3u _ a9 a ao
if 'S _ 396
plat book - 07
gnature 1�-ZX
IJI"YVIYViJi '
N'hme
Phone Number