19869_STONE, HUNTER_19980428

O
CAMA AND DREDGE AND FILL
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
Address
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity t
PROJECT DESCRIPTION SKETCH
Pier (dock) length
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 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.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
Phone Number
State
issuing date
attachments
application fee
Zip
(SCALE: )
lr`
applicant's signature
permit otticers signature
expiration date

- �acxovra—
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�1:0S3101S291: S464 117135u' &SIBS
HARLAND 1992 --

ADJACENT RIPARIAN pROPERT y OWNER STA3'ENg'vT
(FOR A PIERIUNCOVERED BOAT Uf7)
I hereby certify that r own property adjacent to Universal 'T1igber. L. L. C.'s
(Name aF Pt-operty Owner)
property located at
n
M-ot, Block, Road, etc.) '
on TaYlors Creek in Carteret Count
(Waterbody) N.C-
(?own andfnr County}
He has described to me. as shown below, the development he is praposing at that
location, and, I have no objections co his proposal• I undersrand that a pier/uncover boat lift
must be- set back a minimum distance of fiftia= Feet (15') from my area of riparian access unless
waived by me -
I ALi wish to waive the setback requirement.
I do wish to waive, that setback requirement.
DESCRDMON RIND/OR DRAW-ENG OF PROPOSED DEVELOPlM.%;T:
M, be filled in by ijzdividual pOmposing development)
jqoe a- p;'. +�6s
,r P-ED Drsrs Fo r2 E� Bo�'� L- iF7'
---
Si ature
-26R,4V4 c�
print or Type Name
6-6j, 7C/'3-a2dz
?�tephone/N/umber
Date:
TOn Ytid TC:6T TO/9T/OT

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIUNCOVERED BOAT LIFT)
I hereby certify that I own property adjacent to , ; , r�,,�/ f 14;A A 's
(Name of Property Owner)
property located at Lc > 0, j t' 3
(Lot, Bi ck, Road, etc.)
on t/a +� L ,� �ic'F �j in x, 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/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 AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
D
- L G c N
f _
Signature
[�A (Z60,9- SAJ r PE S
Print or Type Name
g / a, ) Jo y-,15�5-g
Telephone LN/umber
Date: - I ';- q — C&