24861_ROPER, CHERYL_20000308

CAMA and DREDGE AND FILL �
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G E N E R A L N",-' 24K�.-(L
c !'1!: J.. ,. f`(f A I
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
PROJECT DESCRIPTION SKETCH --
Pier (dock) Length
i .
Groin Length
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
Phone Number5-1
State Zip
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: ,I (-/ c-
/ L' / ] applicant's signature
v permit officer's signature
issuing date expiration date
attachments
application fee

WILLIAM W. RAPER
CHERYL P_ RAPER— CsPo�`1�tP
NCDL 6272019 1016180
516 N. KINSTON AVE. PH. 252-726-1228
ATLANTIC BEACH, NC 28512
PAYTOTHE
ORDER OF J I
66-85/531 3672
0280109907
DATE .3
n DOLLARS
lZ6entumBaiik-
Mo:rh p
ty, NC 28557
MEMOy tcc"t; f lore iJ,a5j � - — -------'�t„/�-`✓V_--=P
i:0 5 3 1008 50i:0 280 10990 71I' 36 7 2 =/y

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOA TUMBOA THOUSE)
I hereby certify that I own property adjacent to � L. J l -J 16 /—^"% 's
(Name Lf Property Owner)
property located at
� Ile
/l / (Lott,, Block, Road, etc.)
on �'`frPIle, /�Pe:V , inAP G� , 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/boatliftlboathouse 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.
r / I d-Q wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
"i e to // 11�e' 6 /
.,..,✓,MrM
. z-?-fcH/-)('D H, 69/Ft/S
Print or Type Name
Telephone Number
Date: -- Z Z — Z COCA

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to t J PG..! zel: 's
(Name 6f Property Owner)
property located at !0 i t1ek-1, , A&e-
(Lot!Ile
�% Block, Road, etc.) ,p
on 7p !`/P,Q &ef A� , in elea 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/boatliftiboathouse 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 d_Q wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
off d �el I'//
6&"" ju-o"'-
Signature
Print or Type Name
Telephone Number
Date: ,z — )— L+ — z 0 v 4D

06/I6/1995 05:25 2522473799 HENRYS PHONE SALES PAGE 02
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