23589_HARDESTY, JOHN_19991025

Applicant Name
Address
CAMA and DREDGE AND FILL
G E N E R A L 2 115$9
PERMIT � W I
eqP
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 rJ2,V /Zoo r.-r'a11'
Phone Number 717'1 4 '"` "')
726- 80S)0 w
City _ � . // ��/�a �,.r State /(f Zip f'S'1Z
Project Location (County, State Road,, wWater Body, etc.)
Type of Project Activity / 4, :01 dfa� ;. s %� f..� i 'k,12
PROJECT DESCRIPTION SKETCH re -
Pier (dock) Length i 1
Groin Length
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards�-
Boat ramp dimensions
Other Cis
�r
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 permit the State of North Carolina certifies that this project
is consistent with the North Carolina Coastal Management Program.
f 4_0*11 P1/� 6 (SCALE:
issuing date
applicant's signature
permit officer's signature
expiration date
attachments
application fee

Personal Account Information
11i0�,'99 14:17 FAX [phone] ELITE HOMES Z 02
ADJ*ANT R1PARIAN PROPERTY OWNER sTATENMqr
(i R A PIERIMOD)uNG PILINGS/.&oAmFIYBDATXOUSM
I hereby, certify that I own prvpCrty adjacent to ()1111
• fName o[ Property weer)
propY locates# at 0 3 9, ly/o cif G 6 Peer Cood
(Lot, Bloa, Road, etc.)
on Liea),Aj I
-- , in Pipe kkull S4af,e1 ..„_, N.C.
(Watlerbody) (Town and/or County)
Be has described to me, as shown below, the development he is proposing at that
locadon, and, i have no objections to' his propesa(, 1 Underrtund that a pier/mooring
pii 9V1vathftA6thouse must be "t back minimum distance of fifteen feet (15') Erore my arm
of riparian was unless waived by me.
/ 1 ua_put wish to waive the setback requitement.
wish to waive that setback requirement.
DEscP-1prION AP,-D/OR DRAWING OF PROPOSED DEVELOPMENT:
(to be filled to by individual proposing developmera)
Heq r 14 Cot C-
b Ao� 5,(.1 .`" m �o sraw `1I y aloha
LA 110 5/
30'
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pelf PQVA
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Print or Type Mme
Telephone Number
Date, 11211
Tt7TPL P.6Z