18585_MARTIN, WILLIAM_19980216

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CAMA AND DREDGE AND FILL � � ce/
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
Applicant Name V --, f 9 i -+ Phone Number
Address R
City State Zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION SKETCH p U %�lh
r
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
y
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 issuing 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
9
Management Program.
(SCALE:
expiration date

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(For A Pier)
I hereby certify that I own property adjacent to
is property
Name
located at Z.�/ /-r277�4 S Ar e- e--,/
Lot, Block, Road, Etc.
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on In �.� v PVC.
-Water Body Town 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 (15') from my area of riparian access
unless waived by me.
I do not wish to waive that setback requirement.
- 'X-_ I do wish to waive that setback requirement.
Description and/or drawing of proposed development:
(TO BE FILLED IN BY INDIVIDUAL PROPOSING DEVELOPMENT)
ature
Name
7 ( Q 7ZF1' ZJ `fl
Phone Number

-----✓--------------------------------------------------------------------
----------------------------------
11-05-1997 11:36AM FROM STOKES COUNTY YARN 704. 372 0250 p,2
ADJACENT RIPARIA,N PROIt E.RTY OWNER STATENIEN f
( FOR A PIER)
I hereby certify that I own the property adjacent to William T. Martin's property located
at 201 Front Street on Taylors Creek in Beaufort, North Carolina,
He has described to the 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 of fifteen (IS') from my area of riparian access unless waived by me.
----- --- I do wish to waive that setback requirement,
--------------- I do not wish to waive that setback requirement.
0.
Description and/or drawing ai'proposed development: (to be filled in by individual
proposing development)
signature
name
phone number
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