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�