27594_HILL, TONY_20010313

CAMA and DREDGE AND FILL ill-
G E N E R A L u''L 27594
Z,1
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 Phone Number` - `'7 > i'►t
Address
City State Zip ' X'
Project Location (County, State Road, Water Body, etc.)
`.V
Type of Project Activity
PROJECT DESCRIPTION SKETCH
Pier (dock) Length
£ -r- 7'
(SCALE:-71
i
14
>—
T, J
� L
�
_
.54
Groin Length "
number
Bulkhead Length
max. distance offshore !
—
;.
:.Tit
i
k�
Basin, channel dimensions!
1.
µ
��
_
I
cubic yards -
Boat ramp dimensions "
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Other
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This permit is subject to compliance with this application, site drawing j
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 r`f,
may cause the permit to become null and void.
This permit must be on the project site and accessible to the permit of- � 'permit officer's signature
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
been obtained from adjacent riparian landowners certifying that they
have no objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that this project
is consistent with the North Carolina Coastal Management Program. application fee

2806
Tony T. or Kim S. Hill 06-91
NCDL His 3873960 Hers 5288318 l 66-30/531
2938 Nathan Hill Rd 568-4805 Date 155
Deep Run, NC 28525
Pay to the I `� J $ j o
Order of=
Dollars � �•���-
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FJJRST CI FIM i ..Ban & Trust �omp.ny
Kinston, N.O. 28501 c
11P
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053 L0030O�:00 L5 L5-SF49i�' 0 2806 _= Y._
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NE44V BERN, NUMBER 8 CRAVEN
Raybonainijeerng, P.A. "
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Sillitt & A.�so%cjate4:, P.A. inc.
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ADJACENTRWA. ZUN PROPERTY OWN` R STXMrvENT
(FOR A PIERlhIOORING PILINGSIBOATLIFT/110ATHOUSE)
I hereby certify that I own property adjacent to o�ti y, / 's
(Name of Prope& 0}vner)
property locatel at _ i/9:27—
(Lot, Block, Road) etc.)
on _( Au N. C.
(Waterbgdy) (Town and/or County)
Be has describM to me, as shown below, the development he is proposing at that )ocation,
and, I have no objections to his proposal. I understand that a pier/mooring
pilings/boaelift/boathouse must be set back a minimum distance of fifteen feet.(15') from my area
of riparian access unless waived by me.
I do ut wish to waive die setback requirement.
I dQ wish to waive that setback requirement.
DESCRIPTION AND/OR IDRAWR G OF PROPOSED (DEVELOPMENT:
(To be filled in by individccal proposing development)
kna','ure
Print or Type (Fame
2 sz 6 3 8 -- 13 q ;g
Telephone Number
Date: 3 /V — 2 00/

ADJACENT MARIAN PROPERTY 0WNTR STATE WNT
(FORA PIERIMOORING PILINGSIBOATLI171f6OATHOUSE)
I hereby certify that I OWn property adjacent to % 41 � /Le., 's
(Name of Prop -ty Owner)
(Lot, Block, Road, etc.)
on P���o4�G�+,i,�v , in AP -Li I.C.
(Waterbody)(Town and/oc- 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
pidnac/boa&t/boathouse must be set back a minimum distance of fifteen feet.(15') from my area
of riparian access unless waived by me.
I do—n-a wish to waive tiie setback requirement.
I s% wish to waive that setback requirement.
DESCRIPTION ANUOR DRAWF G OF PROPOSED DEVELOPINMi'T:
(To be filled in by individual proposing development)
Sian ure
Print or Type Name
31- 593 6;))
Telephone Number j
Date: -3—
1