13095_MAHONEY, PHIL_19940629

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CAMA AND DREDGE AND FILL
GENERAL
PERMIT
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 15A NCAC r r
Applicant N me Y u- Phone Number
Address 7( �! I C .c 1 � c /',,-„ r;
City
Project Location (County, State
6
Type of Project Activity K
PROJECT DESCRIPTION
Pier (dock) length
y-
Groin length.
number
Bulkhead length
`fax. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
0tnej, h
/
Road, Water Body, etc.)
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SKETCH ,� EG; ,' %
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.
applicant certifies by signing this permit that 1) this pro -
is consistent with the local land use plan and all local
o finances, 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.
_ State Zip
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f
issuing date
E:
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applicant's signature
permit officer's signature
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attachments -,f r ! ! ! )// / �) el
expiration date
application fee

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UNITED �����iS NONE h ORDER�000
60481360�13
POST OFFICE U. S. DOLLARS AND CEN'
SERIAL NUMBER YEAR MONTH DAY
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ADJACENT_ RIPARIAN PROPERTY OWNER STATEMENTS` -
(FOR A` PIER)
I ereby oertify that I own hroperty.adjacent to
's property located at
(Name. of .Property Own ) ,
a
(Lot, Block, Road, etc.)
L('t tr21Ln
� • (Wate.rbodY ) (ToWn and o r Co
unty)
He has`deseribed•to!me,.as shown.below, the development he is'
Proposing at that.locati'on, and.. I have. no objections to his
proposal. •I understand that a -pier must be set back a minimum
distance of. fifteen feet_ (151) from my area- of ripariarf access
unless waived by me.
do not I
wish to crai e that
� v h t setback requirement.
.I do wish to waive that setbac • • _. k requirement. .� meet.
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DESCFIPTSON ANT) O:1 G�7r 'oROPOSEA �rrr
DEVELOPM
ENT:
To be filled � �, (. d in, b � + _. tea si r 0 Y� sin � de ve .. .. to nt P Po 9.
P� )
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gnature
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ADJACENT RIPARIXT PROPERTY OWNTM STATEMENT
(FOR A PIER)
by- perti.fy that I own property ,adjacent to
+A 's property located at
(Name of Property Own
(Lot, Block, Road, etc.)
un 4crt Cfc(C , nNF 9 1Z9,?/J C,e4L N.�.
(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 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 that setback requirement.
I do wish to waive.that setback requirement.
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DESCRIPTION AND/O^ 07 PROPOSED DEVELOPMENT:
(To be filled in by. -i.% ual proposing-developrment)
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