27869_GREEN, BILL_20010418

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CAMA and DREDGE AND FILL
27869
,.� G E N E R A L
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
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
State
Phone Number
Zip
PROJECT DESCRIPTION SKETCH
Pier (dock) Length
Groin Length
number
Bulkhead Length
max, distance offshore
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(SCALE:
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Basin, channel dimensions
cubic yards •.
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Boat ramp dimensions t �"
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Other
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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 I expiration date
attachments
application fee

SILAS O. THORNE, III
1709 CALICO DRIVE
MOREHEAD CITY, NORTH CAROLINA 28557
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to I
(Name of Property Owner)
property located at
(Lot, Block, Road, etc.)
on in , N.C.
(Waterbody) ,(Towp._,and1or County)
He has described to me as shown below, the devAopment he is proposing at that location,
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and, I have no objections to his proposal. o
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DESCRIPTION AND/OR DRAWING C
(To be filled in by individual
LOI' ED D
sing elopy
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Signature
Print or Type Name
Telephone Number
Date:
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT -,U61
I hereby certify that I own property adjacent to Alt At o w, 9. 1-V e t IJ 's
(Name of Property Owner)
property located at (7 v 7- b . )VI- f v-Q- l�� t�•�w� ,
(Lot, Block, Road, etc.)
on Jg, �� �� �� r in )(7r , 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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To byfall
e �,eddin by individual proposing development)
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Signature
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Print or Type Name
Telephone Number
Date: _ I � � Vy/
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ADJACENT RIPARUN PROPERTY OWNER STATEMENT
r� (FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to L6 4- 9124,/V- 's
(Name of Property Owner)
Property located at ()c W ► % o bu q ,
(Lot, Block, Road, etc.)
on N\" , in O"J 0414 1
(Waterbody) (T wn and/or Cou t
He has described to me, as shlown below, the development he is proposing at that location,
and, I have no objections to his proposal. I understand that a pierimooring
pilings/boadift/boathouse must be se: back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
I do not wish to wai-,-e the setback requirement.
I d2 wish to waive t ..at setback requirement.
DESCRIPTION AND/OR DRAWM OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
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Signature
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Print or Type Name
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Telephone Number
Date: % `e 2 k "�'

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to A 's
(Name of Property Owner)
property located at 17 05' La �� e a �- - �17� re G� �� �'� L ,
1 (Lot, Block, Road, etc.)
on 0- l c e U-,e C +K , in y%16 e �i , 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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPM -N7
(To be filled in by individual proposing development)
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Signatule
Print or Type Name
2,S7�, -- -? �-.(0 -
Telephone Number
Date: o 0
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