HomeMy WebLinkAbout27514_HOLCOMBE, PAUL_20010205your project is subject to the NU Division of
dater Quality Neuse River Buffer Rules due /
to its location within the Neuse River Basin. �/Ol
CAMA and DREDGE AND FILL Please contact Deborah Sawyer at �j \0 ♦
G E N E R A L 252-946-6481 2751 �� --
•�� `. N _
P E R M 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
Address
City State zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION SKETCH
Pier (dock) Length
Groin Length
number
Bulkhead Length
max. distance offshore
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
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.
(SCALE: L_, �; ?
applicant's signature
permit officer's signature
issuing date expiration date
attachments
application fee
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/!� ».........r........,.-.^ U.S. DOLLAR-�
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•-^""'•� ���� POST OFFICE
YEAR. MONTH. DAY �^ �
SERIAL NUMBER ��]L:Z2O gj,
ow
02518928516 2001-Q2-0
5 u J,J
HUNDRED DOLLARS $c .,(34�G�,:.,***�eaF������r��r
ONE HUND ONLY U.S. AND POSSESSIONS
AMOUNT*'A IN.THE
NEGOTIAB CLERKr
PAY TO
4 FROM (•jf/
ADDRESS ADD
C.O.D. O. OR
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SED FOR0251
9 38 S•.�.
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02/01/2001 17:32 9199341552
PAGE 02/02
FROP=TY OWNER (FOR A PIE R/U11 CO STATEMENT
�R�13 BDA� I.hM
I hereby certify that I owns property adjaa='to ✓
's
(Name o, P�,op" d ')
ropy locauxi
Cat, .mod,, ems.)
He hem d► a i,lld to nee, as Shawn blow, the duo �
Ioca ion; and, -I. have no �jeCdCW to his �_�
must be 3at .back �. Y underst�i thu a PiMriuncovestd boat lift
waived by me: t t di,5taricC of ftftaea fert (IS') froth my Wea of rh,arian access unl=
�— --�-�- zlkmqt wish to W dvr. the setback require =e
49 wish to 'waive that �sctbacic �9ttir�ane��.
D!(7R DRA'V ZNG OF PROPO��Ld DEN J'.t�l
+tiF111 'Y�.�
PYint TYP'e� �IYlz/
Wephone Numb
Dare: W
FED-01-01 12:37 PM DRYDGE&LEE. 252 636 3283 P.01
ADJACMVT SARAN PRO
(FOR A PIEB/U11IC Vp R�i7 BTy OAOWNER STATEMENT
�
I herebyfy that I ownS I.IFTj property adjacent to
TO l l' (Na�ie OR Prp 'S
P Ply ocated at_ Ply Owner)
(I.ot, Bpocic, Road, etc-) -------an —3 --icd
(waLe sady) in
• (Town a Rge N.C.
He tL1F d ay , i)
location; and, .I. have no Objections
me, as sho" below, the dev�o
must be set back a rtinimu distance WS Proposal. I turdersp�;;u� m�� he is proposing at �t
waived by me, of fiftan felt � �` tic-�•/uncova�rl boat lift
(15) from Iy4y a of riparian access tulles
Y wish to waive the Setback rpqUireMML
140 wish to waive that setback .e9tmen?,
(To be DRAWING OF PRO�i1go DL-i' �1°'h'�IVT: '
wed by indiva�faial
Pint or 1j► Name
Telephone NuInber �