19607_PIERS, UPCHURCH_19980904

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CAMA AND DREDGE AND FILL CI%
GENERAL
PERMIT
as authorized by the State of North Carolina
1(✓��} 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
Address
City State Zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION
SKETCH
Pier (dock) length
z)
r
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
This permit is subject to compliance with this application, site
drawing and attached and specific conditions. Any
i \
..�
general
violation of these terms may subject the permittee to a fine,
a�
imprisonment or civil action; and may cause the permit to be-
I'
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
Management Program.
(SCALE:
-^-.� applicant's signature
----- permit officer's signature
t-.
expiration date

NC DOT NEWPORT Fax:[phone] Sep 4 '98 14.20 P.02
(FOR A PIERIMOO)WO PILINGSIBOAMYTIBOATHOVSp t
I hereby =tify Qwt I awn Xop" 4aceat to
Name of perm Owaar)
ry,
He has mod to me, as shown bdow, the &-mlopment he is proposing at that
Location, and, I have no abjecti,ons to his proposal. I undemand that a piedmooring
ptingalboaWtrooathonsa moat be rtback a minimum distance of fdb= fee:. (li') from my area
of riparian access unioss waived by mc.
I do not wish to waive the setback tequ'ir m=L
I Ito visit to waive that setback requirmwt.
DESCRIMON ANDMIK DRAVVMG OF MOPOM DE`'EWP5f T-
(To hoJMd is by M&Adual pmposixg deve%pment)
ti
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4 -V
Print or Type Name
Telephone Number
TOTAL P,S2

CENTRAL PERMIT OFFICE OF
COURTHOUSE SQUARE
I BEAUFORT, N. C. 2851 6-1898
-! 728-8545
CARTERET COUNTY COURTHOUSE BUILDINGS. MOBILE HOMES. ELECTRICAL. PLUMBING. MECHANICAL
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to: LC�XLu��_cL �-�✓
property located at: C��Le, r near (water
body) y ') �, ���•, 14 in (county)
The applicant described to me as shown below, the development he/she is proposing in that location and:
I have no objections to this proposal
I do have objections to this proposal
Description and drawing of proposed development including property lines setbacks from each line
size of proposed construction location of water and any other structures on property.
Signaturej,�j) -z� ��- /� zio�
Name: Mtn.-V ,`,� b�2n oJI /
Phone Number: (�/,o' --�
Date: �T f

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