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HomeMy WebLinkAbout24329_SEA WATER MARINA_20000404CAMA and DREDGE AND FILL G E N E R A L P4329- 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 State ana auacnea general ana specmc conuiuons. mny vioiatton of tnese 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 permitthe State of North Carolina certifies that this project is consistent with the North Carolina Coastal Management Program. Phone Number Zip 11 �' applicant's signature permit officer's signature n issuing date expiration date W,l- f� / attachments application fee ADJACENT R.IPARUN PROPERTY OWNER STATEMENT (FOR A PIERIMOORING PILINVGS/BOAYLIFI%BOAyHot'SE) I hereby certify that I own property adjacent to�'^�-�, h'1 mil), 's (Name of Property Owne property located at on (Waterbody) G'usc_ (Lot, Block, Road, etc.) ---� in (Town and/or County) N.C. 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/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: (To be filled in by individual proposing development) 'I a YX� T� o I�1 Print or Type Name �Ci'aoi7 Telephone Number Date: ��7ez:�) ADJACENT RIPARIAN PROPERTY OWNER STAT T (FOR A PIEPUMOORING PZUNGSIBOAMF`1"IBOATHOUSE i I hereby certify that I own property 4==t to 's (Name of Property Owner) pTope ty lomted at (f'—' �Ut, Bloek2 Road, etc,) or, , in `C�� C- -- 0 C LL �� , N,C, (Waterbodp) (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/moczing pilingslboattiftlboathouse must be set back a minimum distance of fifteen fmt (151) from my area of riparian access Unie" waived by me. I do not wish to waive the setback requix=ent. T dp wish to waive that setback requirement DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT. T. (To be fiUed in by irt&h1ual pmposin8 development) �- n Print or Type Name 2 Number Telephone -- Date. ADJACENT RIPARLAN PROPERTY OWNER STATEMENT (FOR .A Pim1momuN G PffjNGSlBoA1''Ll'.R�"/Roo-rHL%vsEj I hereby certify that. I own property adjacent tom (Name of Property Owner) property located at, G % cLx s� (Lot, Alwk, R[road, 1 ) �7 9 in (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 piiings/boatliWboathouse must be set bads a minimum distance of ftfteen feet (15") from my area of 4parian access unless waived by me. I do not wish to waive the setback requimmentt. I -d-P wish to waive that setback requirement. DE.SCI.d1C UON AND/OR DRAWING OF PROPOSED DFVFWPME .- (To be , fated in by L-U44duW proposing development) "-kt T��V-4�t D t ` Signature Print or Type Name Ix 'z'elephon� Number ` Date. l� l�