25631_JACKSON, NORWOOD_20000726

CAMA and DREDGE AND FILL ASS
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G E N E K A L
PERMIT
as authorized by the State of North Carolina
Department of Environment and Natural Resources and the Coastal Resources Commission
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in an area of environmental concern pursuant to 15 NCAC
Applicant Name Phone Number
Address
City State
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
WE
i t . (SCALE:
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.
issuing date
applicant's signature
permit officer's signature
expiration date
attachments
application fee

WILLIAM W. RAPER'w"- --
CHERYL P. RAPER
NCDL 6272019 1016180
516 N. KINSTON AVE. PH, 252-726-1228
ATLANTIC BEACH, NC 28512
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1�TOVA Or
v TOWN OF ATLANTIC BEACH
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125 WEST FORT MACON ROAD. P.O. BOX 10. ATLANTIC BEACH, NC 28512
(91 9) 726-21 21
ADJACENT
ZIPARIAN PROPERTY OWNER STATEMENT
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I hereby certify that I own property adjoining I(Uk ril AAd dNC�✓s
property located at A�J(Lntie,, &,OCk N. C. 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.)
signa ure F
�ober� L-. Dillard
name
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phone number
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TOWN OF ATLANTIC BEACH
JNCY
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125 WEST FORT MACON ROAD, P.O. BOX 10. ATLANTIC BEACH, NC 28512
(919) 726-21 21
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
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I hereby certify that I own property adjoining C s
property located at 4hLAf ,& &aCk N. C. 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.)
signature
name
phone number
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