27098_FRAIZER, HENRY_20010122

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CAMA and DREDGE AND FILL
G E N E R A L
PERM I T
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 RcwmtR Phone Number
Address
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
State
zip
PROJECT DESCRIPTION SKETCH
(SCALE:
)
Pier (dock) Length74-1-
NA
r
7
Groin Length } 1._1
I:
number
�i.
i,- il-
I
j
Bulkhead Length
max. distance offshore
_ . "
— (
' I
"LJ
Basin, channel dimensions
cubic yards
.. .... ......
Boat ramp dimensions
Other
}
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.
1
applicant's signature
permit officer's signature
issuing date
expiration date
attachments
application fee

Will,
---_ —_ _ tit s u i i- � y- n h n n i r d d r -n 1. S r I. ao i_ k- 1st . 1. _f_ i-�-,,—
PRESCOTT BROTHERS INC
141 TARA TRL
ARAPAHOE, NC 28510
PAY
TO THE
ORDER OF
1419
�J 66-30/531
DATE �i 47
i $d'a��
DOLLARS
HRSTCITIZENS471
KFi.st-Citizens Bank & T1ust Company
Bayb o, N.C. 28515
fiJ
FOR /—, � �% rm
--- ---- ------------- -----
1i'00 14 19u' IM 5 3 100 3001:00 4 7 1 1 2S42911,

JAN-19-2001 12: 42 FROM EAS i 1 RN qH C: 3REtENUU+I LLLE �TxO7 71'D�K;2 y'�093? P.01
�a•� ra6�L C \ 1 [il t�:11�'1t�7i�1 `" JUVIpC LRrY O YY NEI iYl .: \ ,.
(FOR APIERIMOORING1'ILINGS)BOA7UJ,- ;8^,,.
I hereby certifyy that I' own propert adacer
0
�---�--y`a't.S:_�_
(Naxne of Fr"S' ert;e
Prop='ty located a'
tLui, Biotic., Road, etc.) - ---- --------
an in _f-
{'V{�a#et`i wdw)
N
___�__.�__,__.• .C.
(To n and/or Cotjr,ty )�
Re has desc.jW to m1a, as shown below, the development he is pr�•s . a'
and, t i_+:i:i K:atlon
I have ro jobjections to his pTr sal. I under ?, '
P ing-_' :Iatliftfbva,hause must, be setback P 5"' "`
a minimum dist�;ce of fifte _„ :�� :i : �'; S-;;m, zv,y area
of *cess unless waived by me_
1 v^ish to waive the setback requirement.
i
_ I AQ willsh :o waive that setback requirement.
DESCRIMON AND/OR DRAWING OF PROPOSED DEVELOPM."e � :':
(To be filled in by individual proposing devefopmerrt)
Punt or Type Name
2-
`I eiephone Number
Date:
TOTAL P.01

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGS/BOATLIFI'/BOATHOUSE)
I hereby certify that I own property adjacent to l�AL12 l Z��-s
(Name of Prop rty Owner)
property located at l 3 / UC C,i / P (fli
//� �4'"6�
PAC-a-lk,
(Lot,Block, Road,, etc.)
on 1 J in _ Orf 0 �d /1 , N.C.
(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
pdings/boadift/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 d-Q wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPIN ENT:
(To be filled in by individual proposing development)
Ta c-k - Ja4 as r' -�tio )
Signature
Print or Type Name
q�9 - 551- `r
Telephone Number
Date: /1g/e90

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