26955_GARLAND FULCHER SEAFOOD_20001003

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CAMA and DREDGE AND FILL) r `:
G E N E R A L�95�
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
Address
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
State
Phone Number '
zip
PROJECT DESCRIPTION SKETCH
Pier (dock) Length
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tJ
L'�
I
(SCALE:
Groin Length
number
Bulkhead Length
max. distance offshore
'
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,
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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 applicant's signature
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 issuing date expiration date
land use plan and all local ordinances, and 2) a written statement has 1 1
been obtained from adjacent riparian landowners certifying that they
have no objections to the proposed work. attachments
1 P P , - ►-.-; �. �. -1 . ti3 c� ,
In issuing this permit the State of North Carolina certifies that this project
is consistent with the North Carolina Coastal Management Program. application fee

' $� c u m e n t. See b o c k o r d e t a j
� 4•-lQ�ri � I cl, e. Se4�'al G /R�'��cQ�s'
PRESCOTT BROTHERS INC
141 TARA TRL
ARAPAHOE, NC 28510
PAY `:% .
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TO THE L� ��� /.,
ORDER OF
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C . UG V 66-30/531
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F' RST CITIZ�IVS 47t DOLLARS 00~�,"
ROCK FIrq.Citizary BarYr$Trusl Company
r i!`�. ' � Bay6oro NC >28515
FOR
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to L �°
(Name of Property Owner)
property located at '
(Lot, Block, Road, etc.)
on�Q( N.C., in D '�i �� ,
(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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
Signature
Print or Type Name
Telephone Number
Date:--4l- a
—29—

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGS/BOAYLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to /' ,"/
(Name of Property Owner) TT
property located at
(Lof, Block, Road, etc.)
on , in iiC-/ ��c T � 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/boatlift/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 da wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
Signa
Ire wA) fflll�
Print or"type Name
2Sz- Z1-(9_��s�
Telephone Number
Date: AdIl Av J 3

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