27032_FRAZER, HENRY_20001214

P (P�)
CAMA and DREDGE AND FILL
27032
G E N E R A L
PERM I T Y
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
Address
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
Phone Number
State Zip
PROJECT DESCRIPTION SKETCH
Pier (dock)Length j
I.I
L1
Ly
h.
t.;1
jL
(SCALE:
)
�__.
Groin Length
number P- i
Bulkhead Length
max. distance offshore
C
.i :•_
1
N
till L
ut'
Z,
"'-q
��!.
�-
-u
Basin, channel dimensions
_.a_• .
i
cubic yards _ ; V
Boat ramp dimensions
i
1
TF
)
u
!
1
Other y
o�
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,
applicant's signature
permit officer's signature
issuing date expiration date
attachments
application fee
r

99
Y C -R_'jd -d v s ti-, i nil
PRESCOTT BROTHERS INC
141 TARA TRL
ARAPAHOEI NC 28510 DATE 66-30/53;
47
FIRST CITIZENSv, DOLLARS
BANK First-Citizo
ru, Bank & Trust Company
8615
FR k
FOR
11800139riin
1:053LOD300i:004711
2 Sit 2911
PAY
TO THE
ORDER OF-
1396

M-A

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to 111,-,2�14- '
(Name of Property O ner)
property located at /— U 1�) f &
J J / (Lot, Block, Road, etc.)
on �� 1 . rT � Cart l��/( e xr , in C� , 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
pilings/boadiftlboathouse 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.
Y I dQ wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
Signature
- -J41
PA ntory
Telephone Number
Date: ` ,� 7 Z-yD6

ADJACENT RIPARIAN PROPERTY OWNER STATEN ENT
(FOR A PIERIMOORING PILINGSIBOATLIF (BOATHOUSE)
I hereby certify that I own property adjacent to 4A"em)
(Name of Property Owner
property located at 'e� 0l2
(Lot, Block, Road, c.)
on a in C- k� , N.C.
(Waterbodv) (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
pilings/boatliftlboathouse 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 A IXOR DRAWING OF PROPOSED DEVELOPNIE.N-T:
(To be filled in by individual proposing development)
ll�
Sin ure
Prin or Type Name
Telephone Number
Date: