19606_UPCHURCH, C.E. HEIRS & UPCHURCH, DAVID_19980904

O
Applicant Name
d lrirAcc
CAMA AND DREDGE AND FILL � /� of
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
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
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.
State
21
attachments
application fee
Phone Number
issuing date
Zip
(SCALE: )
applicant's signature
Jam` permit officer's signature
expiration date

CARTERET COUNTY COURTHOUSE
CENTRAL PERMIT OFFICE OF
COURTHOUSE SQUARE
BEAUFORT, N. C. 2851 6-1 898
728-8545
BUILDINGS, MOBILE HOMES. ELECTRICAL. PLUMBING. MECHANICAL
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to:
prope
body)
The applicant
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 12roperty.
Signature ;'
'j "�
Name: C
Phone Number: - rzrG7
Date:--

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/UNCOVERED BOAT LIFT)
I hereby certify that I own property adjacent to C .
(Name of P operty Owner)
on W in , N.C.
(Wa 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 nQLArish to waive the setback requirement.
I do wish to waive that setback requirement.
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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.
Signature: ^c ��
Print or type - o
Telephone 1 t "I - 1— a6
Date 2 / / / 27