33105_HARPER, BENJAMIN F_20021121 (2)

X,CAMA•/ '❑ DREDGE & FILL X O 33105 -
GENERAL PERMIT Previous permit #
)(New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
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 15A NCAC D %//
Rules attached.
Applicant Name a�I � 1-1;1ti/ Project Location: County �p'
Address D. ��cx—% Street Address/ State Road/ Lot #(s) L13
City 's;?'eZ7ds //c/ State X)C ZIP 7eL160
Phone # (qlo) 32:7-Dq3 y Fax # {�) Subdivision -
Authorized Agent Citylz�;ecu6?gril ZIP_ `1 41,/O
Affected N`eW V'& LN-IrTA k4S ❑ PTS Phone # (q 10 3 2 7- 033 c/ River Basin (,C//i,• A24
AEC(s): "OEA El ❑ IH ❑ UBA ElN/A Adj. Wtr. Body le-/P 6 na man unkn)
❑ PWS: El FC: ,�
ORW: yes / no io PNA yes / Crit. Hab. yes / no Closest Maj. Wtr. Body �%2� 11411-�
Type of Project/ Activity
Pier (dock) length � t 3U
Platform(s)--B I 2 `f i
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
�i
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length _
t //-r (/
(Scale:
11�L+�C to �'�Y Ycav
g`z)ba
8
8 2-
VI V 644(r -1
SAM not sure yes &1
- -- -- --- - - -- . k t,z
r.
Sandbags: not sure yes no C ` r
P
Moratorium: n/a yes 8n.
f3 D
�.1 Photos: yes 4
Waiver Attached: yes no)
A building permit may be required by: 1SY _(_(� . See note on back regarding River Basin rules.
Notes/ Special Conditions ?/,O-r- Lv�2/��cC�:��Zl[.fss ?1� �£ 2 z/L'c'G�� ¢� �L�JT J �f��a✓-D
���
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit*
Application Fee(s) Check #
2
/( 4
Permit Officer's Signatur
/1 Zl/0 Y774` c'�/ d
Issuing 01 Expiration 15ate
0
Local Plan ningJurisdiction Rover File Name

BENJAMIN F. HARPER 03-99
NCDL 1979925 '7jO
Pay to the
order of
Bankof America.
ACN FIT 053000196
For
I:0 5 3000 L 9 6': 000 68 L000
1196
4 ^ 66-19/530 NC
Date /� 1853
$
--`—"

ki
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGS/BOATLIFl/BOATHOUSE)
I hereby certify that I own property adjacent to /� _ (,� ,® 's
(Name -of Property caner)
property located at
'? G e, 5/j /-T'� fly,
, Block, Road, etc.)
G
on &Fe F,,77—elP eN , in C . N.C.
(Waterbody) (Town an 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
pilingslboadift/boathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
- f' I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
NOV 0 6 2002
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPNMN-T:
(To be filled in by individual proposing development)
Signature
Print or Type Name
(�/-/o/75'-- //v y
Telephone Number
Date: �2 o

ADJACENT RIPARIAN PROPERTY OWNER STATEMINT
44 (FOR A PIERIMOORING PILINGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to 13 c: /J /// g P CA 's
(Name of Property Owner)
property located at % / /0
Road, etc.)
on li �', ��� , in F F,�. , N.C.
(Waterbody) (Town and/or C nty)
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/boadift/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.
r,'0'W1 0 6 2002
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
i
�ee c-kec'
Signature '
1-�4 e-)-i � o G-try_3- Xrr
Print or Type Name
91c' 32-7-Yj,/
Telephone Number
Date: