HomeMy WebLinkAbout18663_STAMPS, ROBERT_1998040670)
Applicant Name
A rirl rpcc
CAMA AND DREDGE AND FILL
GENERAL
�s 66.
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
City State
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
Phone Number
Zip
PROJECT DESCRIPTION
SKETCH
(SCALE:
Pier (dock) length -
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Pe ('
Y
Groin length
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number
X j „r,
r c, lr-- tl
/
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Bulkhead length
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n—o�ryd a�
max. distance offshore
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Bas"n, channel dimensions
cubic yards
Boat ramp dimensions
Other
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,o 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
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
attachments
permit officer's signature
issuing date expiration date
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee
Management Program.
TILGHMAN M. HARRIS NCDL 5495889
5320 ATWATER DR. PH. 704-786-2573
CONCORD, NC 28025
66-7'3 1700
012058076
DATE
PAYTO THE P. C , /V R J 1 $ `vo rer�
ORDER OF
DOLLARS«
F%HST GMAHTEly %VATIU%YAL BANK Ch.rt.r
HARRISBURG. NORTH CAROLINA 2BO75 Banking
MEMO
j:0 5 3 L00 7 3 7i: 0 L 20 580 76ll' 1 700
ADJACENT RIPARIAN PROPERTY OWNER STA
(FOR A PIERIMOORING PILINGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to ���� � -5-9111A 's
(Name of Property Owner)
property located at U/Y7 C S _
(Lot, Block, Road, etc.)
on ����� ���� x
.� , � Gv�il � , 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/boatlift/boathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waivers 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)
J );' z
Signature
Print or Type Name
Telephone Number
Date:�,� �; /
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Wok--'er Y, S/f/f l /I is
(Name of Property Owner)
property located at C �p� 0 A-kp---�
(Lot, Block, Road, etc.)
on M)AP Cps th-' , in 141y) t /co N.C.
(Waterbody) (Town and/or Countyl
He has described to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
E ArMc#,411
Signature
Print or Type Name
70q- k 3g - oo!�K_
Telephone Number
Date: -4,1 - 6 - 9 `6
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