24809_GARMAN, GRANT_20000228

Applicant Name
Address
CAMA and DREDGE AND FILL Iva- (9)
G E N E R A L 24809 -
P E R M I T
as authorized by the State of North Carolina
Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC
Phone Number
City State Zip
Project Location (County, State Road, Water Body, etc.)
_.�k'�.: , �, . >' to '�.� (>�r i`�-•<<7K 1 r r �
Type of Project Activity I. + t- 'xJ > F r
PROJECT DESCRIPTION SKETCH (SCALE:
Pier (dock) Length �, 1....1 ' .. ....
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 become null and void.
This permit must be on the project site and accessible to the permit of-
ficer when the project is inspected for compliance. The applicant certi-
fies by signing this permit that 1) this project 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 permitthe State of North Carolina certifies that this project
is consistent with the North Carolina Coastal Management Program.
applicant's signature
permit officer's signature
issuing date expiration date
attachments
application fee

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PAY TO THE l�
ORDER OF
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RST CITIZENS 472 J PSt
BA/�j�r� First -Citizens Bank & Trust Company
K Oriental, N.C. 28571
FOR Gee f4PO 9 -- .r'' - -- -- --- —
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Qlu44
property located at L.6r' 4 ) 1002. 01d ►Nt it �aad .
(lot, block, road, etc)
on D AWS0,3 'Ce>`£ < in—(pu3A3 c
(body of wa (town)
J;J�Llj&
North Carolina in County. The proposal has been described tc
me as shown below; the development, a pier ulkhead tructure, and the
c one)
proposed location, and I have not objection to the proposal. I under-
stand that if the development is a pier, it must be set back a minimum
distance of 15 feet from my area of riparian access unless waived by mi
I do do not ish to waive that setback requirement.
(circ a one)
Description and/or drawing of proposed development: (to be filled in b
individual proposing development). INDICATE THE SIZE AND LOCATION OF
STRUCTURE AND THE DISTANCE BETWEEN EACH PROPERTY LINE AND THE WATER.
(�,paPo�ed 5�,4 uJolt o� lnc4L LAx r= 2ac<.
�tovJd .
Pe
Lip �S
k�� �,� h su,ev0 y I
(Original must be retained in the Inspection Department)
Signature
Date
14ame (Please )

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
property located at LOT*6 ) 1060 Old M"I1 eaA-d
(lot, block, road, etc)
on 0-AWS0'3 � 1(A-44 in ToW �S h� j� �
(body of wa ) (town)
North Carolina in Ar11CC) County. The proposal has been described to
me as shown below; the development, a pier/bulkhead/structure, and the
(circle one)
proposed location, and I have not objection to the proposal. I under-
stand that if the development is a pier, it must be set back a minimum
distance of 15 feet from my area of riparian access unless waived by me.
I d do not ish to waive that setback requirement.
(ci e)
Description and/or drawing of proposed development: (to be filled in by
individual proposing development). INDICATE THE SIZE AND LOCATION OF THE
STRUCTURE AND THE DISTANCE BETWEEN EACH PROPERTY LINE AND THE WATER.
ce'voslc-d Se` 04- ul"- I I ' C' i- o" - )-A1.5 Roc'
side UeLJ
5T
Si3r IN�.L l�/� I
Y9Ifns� 's ,-(ino t� w�h.J; i SuRJr
(Original must be retained in the Inspection Department)
�, J• CJ
-Signature
Lomo
Date D<XLN— T
Name (Please Print)
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