HomeMy WebLinkAbout12115_FLETCHER, RAY_19940112i
CAMA AND DREDGE AND FILL
4,
GENERAL - NO
cdP
PERMIT 0
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 15 NCAC
Applicant Name 1` �� f Phone Number f
Address
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
1 .
PROJECT DESCRIPTION
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
SKETCH
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.
State ,
11 �
Zip /
(SCALE:
applicant's signature
r
permit officer's signature
issuing date expiration date
attachments
In issuing this permit the State of North Carolina certifies that /
this project is consistent with the North Carolina Coastal application fee `'C `yc�
Management Program.
IF
. FE. W. ELLIS JR.
PH 726-6775
P 0 BOX 691 127 BOWEN ST
ATLANTIC BEACH, NC 28512
PAYTOTHE
ORDER 0.
2579
6&30/531
FIRST
CITIZENS BANK
Firsf-Cifizens Bank Trust Compo '
Atlantic & Beach, N.C. 2 aie4
�612 PC- )A V5
FOR
' 'S
:D370"
00I:L31?3jjs1Lom 2579
GHARLAND 1962
a
s
i
VIVII GU JIHI CO rVJI PAL Orn VlI'C I ]
*- 1
Official Business PENALTY FOR PRIVATE
USE TO AVOID PAYMENTU.S.MAIL
OF POSTAGE, $3oo
j �Y
i•',�$4ti''NYWY DIY -tip.M W,
Print your n
me, address and ZIP. Code here
)W1
444/ C
J � ;
O i G^ J
IW v V
l
SENDER:
y Complete items 1 and/or 2 for additional services.
I also wish to receive the
following services (for an extra
m
m • Complete items 3, and 4a & b.
r/+ Print your name and address on the reverse of this form
so that we can
fee):
�
m return this card to you.
m • Attach this form to the front of the mailpiece, or on the back if space
1. El Addressee's Address
m
y
does not permit.
O • Write "Return Receipt Requested" on the mailpiece below the
t
article number.
2 ❑Restricted Delivery
G
" • The Return Receipt will show to whom the article was delivered
and the date
Consult postmaster for fee.
0 delivered.
3.. Article to:
4a. �Ar1ti�cle Number
�
(Addressed
��
�M
o
0 �(-
=�la g Cr(s� J
4b. Service Type
❑Registered ❑Insured
0
❑ Certified C�D
E
y
N(
�❑,
❑Express Mail Ud'neturn Receipt for
ULJ
�/�L��
Merchandise
o
p
� r
7. Date of Delivery13
Q
>
5. Sign ure (Addressee)
8. Addressee's Address (Only if requested Y
M
cc
and fee is paid)
W
�
t
~
Ir
6. Signature (Agent)
_J
Q
go
Cr W o
Er. s m
o
O
W>z Q)
ru �cc
f� z N
ca U.
ca
z o
IL o
U
W
cc
e
E
0
L
`
—�-
O
N
I
0
y
u-
Q)
a)
LL
C N
30
3 0
�_
co
.�
N
LL
z
6
L N
`� N
'D
N
V
O
a-0
M
0
Z
v
a)U
>
a
C
(�j Q
N
O
D
E
°--
o
Q
m
u
0
¢
a
d
_
EL
E
E
aCi
o
d
n
d
d 3
d m
O
o
<n
in
LL
a
v
W
Q
rt
rr 0
11—
a-
99S-vei;-686L od,o sn
S861 aunt `oo8c Woad Sd
> PS Form 3811, December 1991 *U.S. GPO: 1ee3--M2-714 DOMESTIC RETURN RECEIPT
2
December 13, 1993
Ms. Sarah Jenkins
7108 Grist Mill Drive
Raleigh, NC 27615
Dear Ms. Jenkins,
Enclosed is a copy of boat lift and pier
of the Fletcher House.
If you have any questions, please call me
at 919-726-6775. If no questions, please sign
the enclosed Property Owner Statement, and
return to me in the enclosed envelope.
Thank you,
Elton W. Ellis, Jr.
0
ADJACEKT RIPARIAN PROPERTY OVNER STATOC=NT
r
I hereby certify that I own property adjacent to Ray F le tcher Ss
property located at Lots 22 & 23 Block 17 on
(water
-(lo oc , road, etc.) N.C. He has
Bo ue S nd
— in bo�yJ—�` own and/or county)
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
must be set back a minimum distance of 15 feet from my area of riparian
access unless waived by me. I do ono wish to waive that setback requirement.
(circle one)
Description and/or drawing of proposed development:. (to be filled in by
individual proposing development)
ATTACHED
signature
name
phone number