10766_General Permit_19920728

Applicant Name,
Address — F
City,
CAMA AND DREDGE AND FILL'
GENERAL
PERMIT C�a 0766
as authorized by the State of North Carolina /S�rv�xl
YjDepartment of Environment, Health, and Natural Resources and th al ReIssion
in n area of envii nmental concern pursuant to 15 NCAC
. �
'� Phone Number,(
rroiect Location (County,
Type of Project Activity
PROJECT DESCRIPTION
Pier (dock) length
Groin length
number
y Bulkhead length
ax. distance o sho e
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
State_•L. -- , Zip
ter Body,
SKETCH �...---� /'� (SCALE: )
lie a Az 0
f'
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 be-
come null and void.
This permit must be on the project site and accessiblif to the
permit officer when the project is inspected for com ce.
The applicant certifies by signing this permit that 1) this pro -
is consistent with the local land use plan and all local
ames, and 2) a written statement has been obtained from
Went 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.
applicant's signature
47�
J permit offic is signature
issuing ate expiration date
attachments
application fee.

lw:�- �19
i

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (
8 u Lr#61qo
I hereby certify that I own property adjacent to Helen and Bill Granr�er's
property located at 157 Loblolly Drive, Pine Knoll Shores
(lot, block, road, etc.)
on The canal
(water body)
in Pine Knoll Shores ,N.C.
(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 must be set back a
minimum distance of 15 feet from my area of riparian access unless waived by me.
I do / do not wish to waive that setback requirement.
(circle one)
Description and/or drawing of proposed development: (to be filled in by individual
proposing development)
The present deteriorating asbestos bulkheading to be removed and replaced
with treated wood bulkheading.
po�hl '6 o'/�O
79
Sig ture
Name
'// 57_ 1,-d 7- 44-4
Phone Number

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (ROB
43 u C06AD
I hereby certify that I own property adjacent to Helen and Bill Granger 's
property located at 157 Loblolly give, Pine Knoll Shores
(lot, block, road, etc.)
on the canm--11 inPine Knoll Shores , N.C.
(water body) (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 must be set back a
minimum distance of 15 feet from my area of riparian access unless waived by me.
I do / do not wish to waive that setback requirement.
(circle one)
Description and/or drawing of proposed development: (to be filled in by individual
proposing development)
The present deteriorating asbestos bulkheading to be removed and replaced
with treated wood bulkheading,
SigAature {�
N CC'i�
Name
.� 4-7 ` ;
Phone Number