24763_ALLEN, R H JR_20000721

Applicant Name
Address
City
CAMA and DREDGE AND FILL
G E N E R A L `'tv`V 2473 -�
PE R M I T AUG 0 2 2000
as authorized by the State of North Carolina COASTAL NA EMENT
Department of Environment and Natural Re urces alti�ll astal Ro sources Commission
in an area of environmental concern pursuant to 15 NCAC W �)
Project Location (County, State Road, Water Body, etc.)
1
Type of Project Activity
PROJECT DESCRIPTION SKETCH,
Pier (dock) Length
Groin Length
number
Bulkhead Length
max. distance offshore
0
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
State
Thic narmit is cuhinrt to rmminlinnrP with this annliratinn_ city rlrawinv
Phone Number , `t 1 `1
Zip
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- *< _Z
fies by signing this permit that 1) this project is consistent with the local issuing date
(SCALE: 1" "-
applicant's signature
permit officer's signature
expiration date
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. attachments
In issuing this permit the State of North Caroiina certifies that this project
is consistent with the North Carolina Coastal Management Program. application fee

JUL-21-00 10:48 AN CAROWAN ALLEN INC 12529468155
P.02
I hereby certify that I own property adjacent to
.. r in I property located at
(Name of Property Owner)
For f-MA . ioQd, �nQ'Q P n }J C.
(Lot, Block, Road, etc.)
on r in Qu� rT r, i n�q N.C.
(Wat ody) Town and/or County lI
The applicant has described to me, as shown below, the development proposed at the above
location. I understand that any construction, excluding bulkheads, must be set back a minimum
distance of fifteen feet (15') from my area of riparian access unless waived by me.
✓ I have no objection to the project as proposed but do not wish to waive the (15') setback
requirement.
I have no objection to the project as proposed and do wish to waive the (15) setback
requirement.
I object to the project as proposed.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be Shed in by individual proposing development)
g 0
tirrd
AA r an t , N Cyr; r\A Jr-.i
Print or Type Name ,
QQ- Q LA-_ '+� t ` -
Telephone Number
7-Zp
Date