27040_GRAVES, JANET M_20010105

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Your project is subject to the NC Division of
Water Quality Neuse River Buffer Rules due
CAMA and DREDGE AND FILL to its location within the Neuse River Basin. (� �M��4�""
G E N E R A L Please contact Deborah Sawyer at
252-946-6481
PERMIT -
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 State
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
Phone Number
zip
PROJECT DESCRIPTION SKETCH
Pier (dock) Length
(SCALE:
r_
Groin Length
number
Bulkhead Length
distance offshore
max.+f-
(
y:
7
1,
1i _
Basin, channel dimensions
( `�
cubic yards
Boat ramp dimensions
Other
7
i
i
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.
issuing date
applicant's signature
permit officer's signature
expiration date
attachments
application fee

WILLIAM D GRAVES III 860
DBA WATERWAY APPRAISAL SERVICES
5630 STYRON DR. 1 /c)
66-30/531
ORIENTAL, NC 28571 Date 1 472
O dto eer of ' V �� I �� . o0
Can_ n 1/Dollars
RPM CITIZENS 472
FIn1Citizam Bank 8 Trust Comparry
OrioMal, N.C. 28571
For P,i- M 6r VdS 6a400-70�o -
1:0 5 3 L00 3001:004 7 L 200840 LIII 00860
OC'lark<Mf<rican

ADJACENT RIPARIAN PROPERTY OWNER STATENDEW
(FOR A PIERIMOORING PILINGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to _Jo f) P J 's
1 (Name of Property Owner)
property located at 5 I ' V O
(Lo , Block, Road, etc.)
on I e iCP_ CYP )( , in Oti'l�' Yl 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/boatliMoathouse 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 do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
4Z'
—'--3b'---�i--..
- t4----- 32'..-------.
--------------------------
Sign tune
.ta1-t/5 e_ T- e�
Print or Type Name
�ele_pfi_one Number
Date: _i ,'� — '-� Gy —

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGS/BOATZIFT/BOATHOUSE)
I hereby certify that I own property adjacent to Q Yl J / ►� l . 12 (S �� s
(Name of Property Owner)
property located at �J .t u Y'c rl 11c 1 u e
(Lot, lock, Road, etc.)
on Cr ee 1(- , in Y-\ iYen f (A—] , 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/boatliftJboathouse 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 do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
ac" Drec;9e:
i.._ ---- -- .. _ .. W _-
_- .. .. ..-----.._. _.-.- ._..�... _..
S I iP
-�i
C
Signature
JUv�
Print or Type Name
-� S-:� - 12 -`' i - d c370
Telephone Number
Date: �p /