HomeMy WebLinkAbout25627_WILKEY, TRAVIS; ROBBIE WEBB_20000612i
CAMA and DREDGE AND FILL 01
G E N E R A L
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 Phone Number
Address
City State zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
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.
issuing date
applicant's signature
permit officer's signature
expiration date
attachments
application fee
A
BB&T
BRANCH BANKING AND TRUST COMPANY AUTHOR! SIGNATURE
WILSON, NORTH CAROLINA 27893
F7008000588 (Rev 05
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MEMOIPURCHASER —c—�-
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u-6557 276"1 1:053 10 11 2 11:10 190100971"
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Fa Mew -E-;a.ge Fr-om :
Jun 6 '00 11:54
Na.me : AYDEN-GRIFTU,,l HIGH SC:H
Fax Number: 9197462120
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AYDEN-GRIF7QN HIGH -KH Fa.x:D1746212u Jun f_ 'i_"0 11:�4 F.01/01
RJR OpR1""i' CyNC STAT,N-�'
► (FOR A PIER1 UNCO vEXED ggO F7)
I hereby ccrury that I own property adjacent to L 's
(`lame of Property wcer)_
property located at _n'�r 'S` 1► �} Cis
a4t, Block, Road, etc,) �`—
on ap— N.C.
(W attrbod_v) (Town and/or County)
He his dcs.nbed to me, U Shown below, the deve:opment he is proposing at that
location, and, I have no objections to his prapasal. I Urderstand that a pier/uncovered boat lift
MIX be set back a minimum distuez of flftrel feet (15') ercm my IM or riparim access unless
waived by me.
I sia. t wish to waive the Sttback requirement.
119 wish so waive that setback requLpement.
......o_. r...�......---_.....� r�,_,
DESCRI.t?'TION ANDiOR i9RAWTiG OF PROPOSED DEVtLOP_NMw-':
{% be'Wed in by individuo! proposin, d*V*JOpnisru) Q'?D S �
tq�tST(O &P
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIUNCOVERED B0� A� T LIFT)
I hereby certify that I own property adjacent to`r�qL)S (,jC kE- 's
(dame of Property Owner)
property located at 'j a 3 KN STO N R o C-
(L.ot, Block, Road, etc.)
on WrP YY1Nb5 CA-lA-L , in 81
A NT—I c R C-H- N.C.
(Waterbody) (Town and/or County)
s
He has described to me, -is shown below, the development he is proposing at that
location, and, I have no objections to his proposal. I understand that a pier/uncovered boat lift
must be set back a minimum distance or rirteen (15') from my area of riparian access unless
waived by me.
I do not wish to waive the setback requirement.
t/ I do wish to waive that setback requirement.
DESCR=ON .Ati-D/OR DR-AiNDDiG OF PROPOSED DEVELOP? LENT:
(To be jMed in by individual proposing development) E�
oC o
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Print or Type Name
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Telephone Number
Date: ` — 1 " 30