28089_DEANS, ALTON_20010608

CAMA and DREDGE AND FILL
R L�
G E N E A{/a,4,�e YorI
PERMIT #4
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 Phone Number
Address
City State zip
Project Location (County, State Road, Water Body, etc.)
r
Type of Project Activity t.F1 4 t N f 1 tv
11, el e� , I,_ f t
PROJECT DESCRIPTION SKETCH
Pier (dock) Length , <
c
: f
'
r -
!
r-
q,rI
, t
t�v;tt
i
l�1n.-1
(SCALE:
i.
r
AltA
)
Groin Length y ,
number
Bulkhead Length
max. distance offshore ± t'
.
I
Basin, channel dimensions
cubic yards 1, ...d Z
Boat ramp dimensions
ff
I
i
i
r
Other
!
i�
4,
Ft
y t�
This permit is subject to compliance with this application, site drawing
and attached general and specific conditions. Any violation of these terms applicant's signature
may subject the permittee to a fine, imprisonment or civil action; and
may cause the permit to become null and void. Er� r lro-� permit officer's signature
This permit must be on the project site and accessible to the permit of-
ficer when the project is inspected for compliance. The applicant ceni-
fies by signing this permit that I ) this project is consistent with the local issuing date expiration date
land use plan and all local ordinances, and 2) a written statement has
been obtained from adjacent riparian'landowners certifying that they (t�
have no objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that this project r+ , ..
is consistent with the North Carolina Coastal Management Program. application fee

ALTON C. DEANS
LOUISE N. DEANS ss-112
3505 BROWN BARK DR. PH. 910-299-0007 531 1 0 6
a
GREENSBORO NC 27410
$
MANCMM�MD N'IO tTIgiCOMrANY •��II I:� E�80170, NOR7N CApq�NA 27401 �1��� p'~
1: 0 5 3 10 1 1 2 It: 5 1 1
a� 3Z52873n■
1091
.;. ._..�•�, air. .. ... 1i:.f}.� *�",

Jun - 6, 2001" 2'02PM►$'Lt''':'j'�uc�%' l' CAUSEWAY MARINA [r�- No-4170 F• 1
AJ�dt�4A.:1\ l .iilrta.L1_LAIN PROPERTY O Y NTR J lATLra.i_• A
(FOR A PIER/MOORING PILINGS/BOATLIFI'180ATHOUSE)
I hereby cw*dry that I own property adjacent to j4LY6N 2 r dAt! '
(N=e of Property Owner)
property loud at 165 $ o j jl e� ly sr ,
(Lot, Block, Road, etc.)
on/y2#Al lhpeg_Gs,Na.o—, in 4L4"f/u BJ5AG.&P
cftterbody) (Town andlor County)
He has dem-Hbed to me, as mown below, the development he is proposing at than lo=dori,
and, I have no obiecdons to his proposal. I understand that a pie:,'moaring
pi1Lngslboa1fdboazhouse must be set back a m{riimum distance of feet (15') from my area
of riparian access unless waived by me.
I do not wish to wVe the setback requirement.
I do wish to waive Liar setback r=uire:nent.
DESCRIPTION kN-D/OR DRAWNG OF PROPOSED DEVELOP`7—%,7;
(To be fzlled in by individual proposing development)
PLP
D A V / S / e r,4 ®F COSTAL
9Rrg0 sRQJeR
i�RYL-Ain A5;2- — I ill 3470
_ CMA2L is rm- �fA-fQ1.'L
Print or Type Name
9I9- Oink
Tcleohone Numbe:
Dale-
Zooi

ADJALE1*ST RIPARLALti YROPERTY OWNER STATL= LENT
(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
11-T®xi 00RA1,5
I hereby certify that I own property adjacent to "�'A e 10--y S` n -> 's
(Name of Property Owner)
property located at ivf a 0 ./i�N S' - ,
(Lot, Block, Road, etc.)
onMRj1 ajt4ng-- cpt4gc, , in 4%L/-�iS/•T��
(Waterbody) (Town and/or County)
He has describer) to me, as shown below, the deve'opment he is proposing at ti at location,
and, I have no objections to his proposal. I understand that-...a_...piy.;'moarrn2 - t
pilingsiboadiit/boathouse must be se: back a minimum distance of fifteen � m m�
of riparian access unless waived by me.�-�D�
I do not wish to wa-,:e the setback recuirement.
JUN 0 0J 2001
AL MANAGEMENT
MORENEAD
� I � wish to waive �.at setback recuirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPti[ENT:
(To be filled in by individual proposing development)
PL COSH r- Ax Tb
01VI560 cr- "STM, /MRIIi MEIV r
R� S'�/Vcp
25a --kL17.3330
- - I I ^ n r-
wl"� .0
Sisna re
—1-AgR Y -St "Al
Print or Type Name
Telephone Number
Date: