26145_MYERS, RICHARD L_20000809

t
CAMA and DREDGE AND FILL
G E N E R A L -•,.
PERMIT
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
Applicant Name
Address
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION SKETCH ,
Pier (dock) Length , _ . t' i j
Groin Length
number
Bulkhead Length
i
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
State
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.
Phone Number -­ ":]'> � �`4 `�C )
Zip �� t_
(SCALE: r,ic.."ir- )
yapplicant's signature
i
permit officer's signature
issuing date expiration date
k 1 i
> attachments
application fee

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W LIBERTY
RICHARD L. OR CANDACE L. MYERS 5789
NCDL 4559292 NCDL 1135649
PH. 598-1223
5114 WAKE FOREST HWY. esana�/zsai
DURHAM, NC 27703 �y
P,,yTo Hs;
RDE
GREATER PIEDMONT
t FEDERAL CUNION
601 S. Mangumm Street
Durham, North Carotin 27701 k
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is 2 5 3 L8t.4 7 21: 70000000069 3 211
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8- 3-00:12:56 ;950 division office
2524648462 # 1/
ADJACENT P"ARIAN PROPERTY O'4VNER STATENIE, NT
(FOR A PIERIAlOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to �r �w I7 Cf. f 's
(Tame of Pro erty O�sner)
property located at X; C-c-
(Lot, Block, Road, etc.) l
on �� �/ �z r.- , in
TWaterbody) (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/mooring
pilings/boatlift/boathouse 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 AR-D/OR DRA«NG OF PROPOSED DEVELOPNTENT:
(To be fulled in by individual proposing development)
- -----------------------
--------------------
----- -1��/� ° �7 /��'1� Sig+. l
Pn�Type Name
e
Telephone Number
/44tDate:

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/AfOORING PILINGS/BOATLIFT/BOATIIOUSE)
I hereby certify that I own property adjacent to e" 's
(Dame of Propfeerty Owner)
property located at : GG ��� %1 rw N, C ¢jam // �7- dr j,
(Lot, Block, Road, etc.)
on �� �/ Gf •" ✓e �- , in Mary
(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/mooring
pilings/boatlift/boathouse 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.
1 do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
4flzl� ad. Z!Z�
Signature
Print or Ty Name
Telephone Number
Date: 'fly d o