25510_WILLIAMS, REX_20000428

CAMA and DREDGE AND FILL
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
PROJECT DESCRIPTION SKETCH
Pier (dock) Length
Groin Length
s ��
number71
Bulkhead Length
max. distance offshore
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(SCALE.
)
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Basin, channel dimensions
cubic yards
Boat ramp dimensions
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mm
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Other
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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.
IC-1
applicant's signature
permit officer's signature
issuing date expiration date
attachments
application fee

a
Customer Job Requiretment Worksheet
Customer Name, aaL Date
Mailing Address \��� l�,�', -}-. Job site Address
Phone#Fax#
Adjecent Property Owners
Left sidej),A\Q r.\-6_v,-,S
• W R3I s 6
Date MailedC/ /b-CoReturned
Cert. Mailed (10) Days
State (CAMA)_QEI��- -
Right side 1 , I pT-
1,111:11 •�
GJq=� -L4-I-QQUa
Date Mailed 4 /D 02�Returned�-00
Cert. Mailed (10) Days
Permit Required
Recieved
City Recieved
County_ �\ Recieved
Fairfield Harbour Recieved
Job Type
Bulkhead Boathouse
Dock Jet Ski Lift
Boatlift Repairing Dock Bulkhead

ARE-24-00 MON 07: 19 AM JENNIE. ADAMS
919 249 2825 R.91
04 '2C00 07,07 FAX e0i
ADJACfM. RtPAR,MN PROPMT Y OWNM, STATIMMXNT
(FOR A PIERIMOORING Prr NGSIBOATUFTIRO.4MOUSE)
I hereby certify that I own property adjacent to eiLod 's
(Name of Property Owner)
property located at
(Lot, Block, Road, etc.)
in t1fQ
&A ALtw, N.C.
(Waterbody) (T w- and/or ounty)
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 pierlmooring
pit ngslbmtliftlboathouse must be set Back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
_ I #4_DA wish to waive the setback requirement.
I dQ wish to waive that setback requirement.
DESCRIMON AND/OR DRAWING OF PROPOSED DEVELOPMFNI':
(To be filled in by individual pmposing development)
------------- y------------- -----_____ � /---------- _.___---�
i fuse
print or Type Nama
ae5�2 ,-).`4�- 2-Ff2-�
Telephone Number
Date. ��/'2 0

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFTIBOATHOUSE)
I hereby certify that I own property adjacent to f P 4 L'1� 1 I I i2� V� 's
(Name of Property Owner)
property located at , �� l ,1 \ I 1p (-)a /' 2(�- ,
1 (Lot, Block, Road, etc.)
on l- u "�> e �— , in , N.C.
(Waterbody) (Town and/orCounty)
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/boattift/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)
Signature
Print or Type Name
e1T ep %ne Num er
Date: J D

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1102
t
Kennel's
Pecan Ln
Myrtle Marsh Point f.River Ridge Rd
—Franklin br
— 1101
Rd
Neuse Rd
East Prong Beard Creek
Beards-
9
Cedar Gut
Purifoy Gut
Carawa; Creek
Beard Creek
1
Street Wizard