19656_RIGGS, BEN_19980915

CAMA AND DREDGE AND FILL
GENERAL L- rdl
C
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 '� y K Phone Number , s
Address
City .f +'I F �/i��°r State zip
Project Location (County, State Road, Water Body, etc.) ► '� �'
J
Type of roject Activity % u�
< <1 % Oc' r• �! .> ry. , "r S , f ' 1 !! 1 t :J
PROJECT DESCRIPTION SKETCH / < ti 5 �` ° y r"r �� (SCALE: )
Pier (dock) length r ! t1 ` (' IF or,
.__.
Groin length p m
number
Bulkhead length
max. distance offshore
I '
Basin, channel dimensions
,
f
cubic yards
\r,
Boat ramp dimensions
Other
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.
applicant's signature
�l
permit officer's signature
/ issuing dateell
expiration date
attachments�C / C
In issuing this permit the State of North Carolina certifies that 1'-L1
this project is consistent with the North Carolina Coastal application fee �'
Management Program.

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ELTON-V ELLIS-JR _ ,.- --- -------------- - - - ••
NO-1855620-PH 919-726-6775 _.----- ------_------------._-----..-� 7_3 -
P-0-BOX-691 _— -- .- _ ---------_ _. _ 66-152/531 CC -- •
_
ATLANTIC -BEACH -19
NC---
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lee
_Wac6ovia Bank, N.A.
—Pine 1 11-81 , N4 285a7
==i:053 LO n-291: 5464 L L7135111 L734 =
HARLAND 1092

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIUNCOVERED BOAT LIFT)
I hereby certify that I own property adjacent to r 's
(Nam�of ropert er)
property located at
(Lot, Block, Road, etc.)
W
on � in N.C.
(Wat 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/uncovered boat lift
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 A-ND/OR DRAWPiG OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposingdevelopment)
� f
G3Rry� � 00 �
O/d Wly
--------------------------------------------------------------------
l< u
l 1a2�
Signature
l/ /,
Print or Type Name
1-5-16 s.3 F 01;sk
Telephone Number
Date:

I
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/UNCOVERED BOAT LIF1)
I hereby certify that I own property adjacent to
-� °s
(Name of ,/ perty Owner)
property located at 1, z Y o/�l fR r UI/A V f,0 1
(Lot, Block, Road, etc.)
on A��/ n�7,` 7,E 111,4 r % N. C.
(Wat rbody) (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/uncovered boat lift
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 se�back requirement.
I do wish to waive that setback requirement.
----------------------------------------------------------------------------------------------------------
DESCRIPTION AN-D/OR DRAWDiG OF PROPOSED DEVELOP_-MEN'T:
(To be JWed in by individual proposing development)
N
vp
0/,4 C.0,/-3c w,4 y
//-J
-------------------------------------- t--------------
Signature
Print or Type Name
7(C?-Cf?->- L( Z-
Telephone Number
Date: `j---(—?k