18367_LITTLE CHAPEL ON THE BOARDWALK & NORTH, JIMMY_19980616

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CAMA AND DREDGE AND FILL
GENERAL a, 018`067 ---J>
JUN 1 8 �$
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 s 'Y /40, t"l /sp ii�a �,�.°"r:r l t %�' ! Phone Number
Address GiOf'S� :�42d�r
City v%�'?�l i''C�` rt?(���' ` State il(^° Zip
Project Location (County, State Road, Water Body, etc.) )X vim) a f i „- 3U, i !! F5
Type of Project Activity
PROJECT DESCRIPTION
SKETCH
(SCALE:
G
Pier (dock) length
f
Groin length
t✓
number
Bulkhead length
p
a
max. distance offshore
r�
Basin, channel dimensions
v
4Z__
cubic yards
p'
Boat ramp dimensions
t
Other
(NI
Z
V
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.
i
applicant's signature
ii
permit officer's signature
-sT issuing date expiration date
attachments + J f
application fee - Z)i f ��

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Q,J f L S C vl G e f
E 6110 - 1
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� c3'd ��1171
Name of Individual Applying For Per`- `'
Xddra_s Of Property: z 3 R " try.
_ et t, Street oraa, cicy�b uountY)
'�'�by CQrtl�ir rre - - _i_ne�a _
a "'
ter rnis permit has
de_cribed�to� me a$EhC
or =i= n or drawing, vita dlmanslOns'
should be provided with this letta
2 have no objections to this pr�r
v ite the
days of-receict of thY-
-_ - - --- - - �Zy ce`litlea i=c11
T'C&JYJM STCTTi3N
pilings, bre_kaater, boat
house, lift or _anah�--= _=__
u7less �raived ear me
(if you wish
to waive the satback, you p22t initial the approtriate blank-
belcw. j
-isZ to waive the 15'setback requirement.
- == :;nt wish to waive the ls'setback reVirement.
Si atljte' �r_ atle
Prinz Name
33J6, - '6
TelE^have Number Stith Area Code
"aCIA-
was IL
Z0'd 66996T�888 3DNUNId S31US 1289 9S:2T 866T-SO-Nnf

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION ApIVER.FORM
L..'-1-11e CLo/ae f o.��t e 60GrdL"� //c
Name Of Individual Applying For Permit:
Address Of Property:
(Lot or St eet , Street or R a , 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. P_ description or drawing,. with dimensions,
should be provided with this letter.
I have no objections to this proposal.
If you have objections to what is being nronos_ed.-oleasse write the
Division of Coastal Management..127 Cardinal Drive Extension
Wilminaton. North Carolina 28405 or call 910 395-3900 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, bre_kwater, boat
house, lift or sandbags must be set back a minimum di tan"
of 15'
frcm my area of riparian access unless waived by me. (If you wish
to waive the setback, you must initial the apprcpriate blank
below.)
✓ �` I do wish to waive the 15'setback requirement.
I do not wish to waive the 15'setback requirement.
91"M
�icnaLure Date
Prin.. Name
Telephone Number With Area Code
0
0
LT - A
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