23264_SEALE, RICHARD_19991012

CAMA AND DREDGE AND FILL
GENERAL N? 23264` "
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC
Applicant Name '{ r " Phone Number
Address
City
Project Location (County, State Road_, Water Body, etc.) —
Type of Project Activity
PROJECT DESCRIPTION I SKETCH
Pier (dock) length
}
Groin length
(v i
—~r
is
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
y`
d:3..
cubic yards
i
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 be-
come null and void.
This permit must be on the project site and accessible to the
permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that 1) this pro-
ject 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.
State e
G. J
E c..). 1.1 "J
Zip
°4 , .4, 6.
(SCALE:
d tom`
1
issuing date
attachments
application fee
applicant's signature
permit officer's signature
/p-pr. C,.A-9
expiration date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
�KiCHA�D SALE ' s property
located at Zo2 OA�LL�A�tD�`� on
(Lot, Block, Road, etc.)
aC(r7� �bUti/� in `'?iAJE �ZNOC-C- N.C.
(Water Body) (Town and/or County)
He has described to me as indicated below the development
he is proposing at that location and I have no objections
to his proposal. I understand that a pier, pilings and
dredging must be set back a minumum distance of fifteen feet
(15') from my area of riparian access unless waived by me.
I do not wish to waive that setback requirement.
I do wish to waive that setback requirement.
Description and/or drawing of proposed development:
(To be filled in by individual proposing development.)
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Signature
Print Name
Phone Number

FROM �:.KAMLAR/WASH. NC PHOHE HO. : 25294GS142 Sep. 02 1999 11:33PM P05
as representative for the
personnally
v
received a copy of the pier plan of Richard and Linda Seale for 202 Oakleaf Drive,
Pine Knoll Shores, NC. Also attached was the standard LAMA acceptance form.
I understand this receipt is in lieu of a certified, return receipt mailing.
Date
�14Yk�1:4•: �.W+i'w...w.
-- I also wish to receive the totlow-
Ing services (tor an extra fee):
'g ❑ Comploto items 1 and/or P rill addllionAl cnn•ice5.
Qi CnmNlete Itorrr,: •3, 4a, and 4b.
A C7 Print your nano and address nn the raverEe of doh roan so thsl we can return thte y 13 Addressees Address
card to )rou, Z
w ❑attach ibis form ld the front dE the rna+l{'dece, or do tile, pack if s;�dGG done not 2 RestriCtod Dallvery
rp Write `RO liffl keceipr RV1lyosled` on Iha nlallplece boinw it 5 ar iclo riuff0er• ❑ C1-
Th4 m Re
ceipt wilt show to whom tile, allicle Wd6 u91iV6r0d And 1110 date
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P5 0 n� 3811, D bQr 1994
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