24805_REASON, LYNN_20000222

CAMA and DREDGE AND FILL
G E N E R A L AA 24805
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
Phone Number
State Zip
PROJECT DESCRIPTION SKETCH
Pier (dock) Length
(SCALE:
)
;
Groin Length l
number
V_
j
Bulkhead Length �
max. distance offshore
Y
.?10
C)
N
i
Basin, channel dimensions
t
cubic yards _ u
Boat ramp dimensions
Other
-
_
-
Ft
7. t�3^
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 expiration date
attachments
' f>c(
application fee

Personal Account Information

FEE,-19-2F_iL=0 OE :C12 FM GROWS. NEST. MARINE. SCVS. 252 635 9533
JUL
D
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(For a pier/mooring pilings/boatlift/boathouse)
I hereby certify that I own property adjacent to�
(ow er's name)
property located at 7
(lo block, road, rte etc.)
on T G�Fa'� , in e7iJ NC.
(body of water) (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 poles/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 do wish to waive that setback requirement.
___.._,...Description and/or drawing of proposed development
(zG'
h
x ,QE r r % ray^2
14
Pry✓ 11\J6777 L- �-
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/�/�'L 1,+1 it S / efr7-
Signature
Print or type name 12L S Liz
Telephone number ) V -6 3 ;r7 -2 c'
Date_ , CA l iq,100
F' . 0 1
t01 e� -
9