HomeMy WebLinkAbout13061_SEYMOUR, DENNIS_19940504f • M
CAMA AND DREDGE AND FILL
GENERAL �o�
PERMIT � ,� /tea rx _ r
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the oastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC �t /% e
Applicant Name `''1^ '� { if '�'�^ rl �, ''' Phnnp Niimhpr � , 40� 0" �7 S
Address '
City �,� y.. 7 r State
Project Locat on (County, State Road, Water Body, etc.) `
Type of Project Activity 7
PROJECT DESCRIPTION I SKETCH � 4,,
Pier (dock) length
Groin length l _
number
Bulkhead length ,
ax. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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 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-
4 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.
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(SCALE:
' applicant's signature
-` permit officer's signature
issuing date expiration date
attachments
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P_ ;, .7 �
application fee 17• ' , f,
- - 5772
ALAN SHELOR REAL ESTATE, INC.
P.O. BOX 3001 j
PH. 247-7700
ATLANTIC BEACH, NC 28512
RFALTOR �� 4 194.—_
I
PAY
TOTHE
ORDER OF r q M A (D.E.H.N.R.) _ $ 50.00
xi
i Fifty dollars only-------------"--------------- DOLLARS
Centura Bank
Atlantic Bcach, NC 28512 r �'
DAOP
FOR—SEYmnitr Tot 11 Sourid Dr. Ga'-i_
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COLLIER SURVEY COMPANY
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ALAtt SHELCQF' F'EALE'= TATE 919 247 0 7 59 _ F' . ii 3
ADJACENT RIPARIAN PROPERTY OWNER
T STATEHENT (FOR A -LitM�
i
1 hereby certify that I own property adjacent to
(%0t/ property
located at �4��/IJJ�� ia�7C�.1
cn
(Lo, Block, Road, etc.)
ID
Water body)}�� x7'��l (Town and or (_oaT)tyl
He has described to me as shown below the development
lie 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 (15e) from my
area of riparian access unless waived by me.
1 do not wish to waive that setback requirement.
I
do wish o waive that setback requirement.
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Sighs ure
/' ,A A-
ac�
Name
/ Phone number T" _--------
ALAH '_HELOR REALESTATE
919 247 0759 F•. OS
ADJACENT RIPARIAN PROPERTY OWNER
STATEMENT ( FOR A =Vr*�)6��;
1 hereby certify that I' own property adjekcent to
L J 171JV C CZ 4Lp L��4fA_--- ' s property
located at p f-T//}
o n
(Lot, Block, Road,, etc.)
Al
Water bodY) j
X (Town anti) or County
He has described to me as shown below the development
lie is proposing at that J.ocation and I have no objections
to his proposal. I understand that a pier must he set
back a minimum distance of fifteen feet (15') from my
area of riparian access unless waived by me.
1 do not wish to waive that setback requirement.
C I do wi.s} to waive that setback requirement.
Signature
Name -
/ Phone nu Aber
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