10787_General Permit_19920603

CAMA AND DREDGE AND FILL
GENERAL
PERMIT C N_ 10787
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and flee Coas*,�i�ources Commission
in an area of environmental concern pursuant to 15 NCAC 7 �"/ — / "I/'
Applicant Name � Phone Number
Address i 3 f!"
City, 161,e-u —ems^^ State , C Zip �(
Project Location (County, State Road, Water Body, etc.) ��' c
0� 'ee, !� j �2�vt /) �--t1u
Type �f Prg* t Activity h' �C t'✓ y 1 �' C2 1't-. 41-e i [,` 2/,
C . _ �'
PROJECT DESCRIPTION SKETCH �f (SCALE: )
T I i ' '•�
Pier deck) le th U L j� yet
Groin length � 1
numbed
Bulkhead length
max. distance offshore
Basin, channel dimensions.
cubic yards
Boat ramp dimensions
Ot er
Ile
77
ilc
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 accessible to the
permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that 1) this pro-
ject 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.
applicant's signature
permit officer's signature
- 3-fig--��
issuing date expiration date
attachments /�/ C /� e- / / 1 / )
In issuing this permit the State of North Carolina certifies that _ /f /� 7 t/3/7
this project is consistent with the North Carolina Coastal application feej 7
Management Program.

1 .1

(FOR A PIER)
I hereby certify that I own property.adjacent to
1'�'1 R a w112, GrHN rt %?, r L goo Is
(Name of Property Owner) property located at
Si3 Nay woad �c1� �K
(Lot, Block, Road, etc.)
on ,1-,14,4 'WOOS C rzrr" rc , 'in NFo1 AFpeli ceaofw
( aterbody) .
(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 fifteen feet (151) from my area -of riparian access
unless waived by me.
1� I do not wish to waive that setback requirement.
I do wish to waive that setbacl: requirement.
------------------------------------------
DESCRIPTI
(To be. f i 1
110 oT'
Co u fLv- -�
AND
DRAWING OF PROPOS
Individual propos
N
r
1r, v r.IjUl 1 t;XV :
development)
fPL__
/✓ luaoJ e4t /r
County of�✓
STate of �%✓ i �r��.1�, . J ,
Signature
Si Ear_ CfI114
Print or Type Name
Telephone Number
•?Votary FUblic
My Commission Expires: `

5;
9�i
A
I hereby certify that I own property adjacent to
wl{2• G-FiNR's property located at
(Name of Property Owner)
.�i3 N►6y wow Clc�� K
(Lot, Block, Road, etc.)
on �� duoo� C 2(iri (� , in I1Fz-o l3nNw C2o06N.C.
( aterbody). (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 fifteen feet (151) from my area -of riparian access
unless waived by me.
V I do not wish to waive that setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAW
(To be filled Jr.by i.n:ii
f�k I
—36
G OF PROPOSED
dual proposing
j ✓ v �vr�
County ofy
/
State of Signature ���. � � A�..�; _� '
Print or Type Nwhe
Telephone Number
N©tary Public
My Commission Exp.ir.es.;..._�•
t)

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