18450_MURPHREE, THOMAS_19971202

CAMA AND DREDGE AND FILL
9
GENERAL 018450
PERMIT �,� _ j a., AI of
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 I SKETCH /?,I /I
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Bann;"ci unnA dimensions
cubic yards �.
Boat ramp dimensions —
Other
I 4t
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 fcr 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 ottained from
adjacent riparian landowners certifying that they have no
objections to the proposed work.
State
attachments
Phone Number
Zip
(SCALE:
applicant's signature
permit officer's signature
issuing date expiration date
In issuing this permit the State of North Carolina;ertifies that
this project is consistent with the North Cardina Coastal
Management Program.
application fee

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to-T&"oMA S 9. r4Jt-� 's
(Name of Property Owner)
property located at � `j' �� (' 4' -4
(Lot,,'Block, Road, etc.)
onj��:=.-,�' �: , in 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. I understand that a pier/mooring
pilings/boadlift/boathouse 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 the setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOP:viFW:
(To be filled in by individual proposing development)
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l
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Signature
AW7-0/t/
Print or Type Name
rFl?) 7zi — Y(
elephone Number
Date: ��

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSIBOATLIMBOATHOUSE)
I hereby certify that I own property adjacent to t4i 2 F'bw i,= r 's
(Name of Property Owner)
property located at u: `j 1 H W V
Road, etc.)
on =- 1 �' c� r ; a``r , ' , in R -rr, %Z F-✓ 4 r) 01V 7 it N.C.
G� �. 11 ..�
(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 pier/mooring
pilings/boatlift/boathouse 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 the 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)
(,6 tzo W/V )
Signature
ZW_
Print or Type Name
�9'i9 Z -,/7 9
Telephone Number
Date: / I ,�
�1L Ir�CaS
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