24886_BARTZ, RICHARD_20000322

i
z CAMA and DREDGE AND FILL
G E N E R A L 'N� 4886
PERM I T
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
i City State Zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION SKETCH
Pier (dock) Length
Groin Length
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
other �.
1. 1 �'1 t�:L�����iti�Z✓
This permit is subject to compliance with this application, site drawing 1�
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 permitthe State of North Carolina certifies thatthis project
is consistent with the North Carolina Coastal Management Program.
issuing date
(SCALE: v' %t' * )
applicant's signature
permit officer's signature
expiration date
attachments
application fee

ADJACINT RIEPARLAN PROPERTY OWNER STATEMENT
�ITF
14
I hereby certify that I own property adjacent to 2112H + eAl2CL. -Al I Ae T Z s
(Name of Property Owner)
property located at (- T 3 14 G—A D WA `1t,725 (� i a k4GA D WATF,)�s D/Z ,
(Lot, Block, Road, etc.)
on 3�aw� C2L�� . in 0121 c-"N ; A L
N.C.
(Waterbody) (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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be fdl' ed in by individual pmposing development)
I Ll
Signature IA
4'f A04,J/I�h�, l SiTL /2/
Print or Type Name
2 y1- tiff
Telephone Number
Date: A 7- boo

N C,
TS
iy
�2rz.
I hereby certify that I own property adjacent to Z e H � CAJWLYA �I ARTZ ,s
(Name of Property Owner)
property located at Lo T -t 13, 0 L AU WA M�5 / 3 1 2- H Ldb wA TF2S DR,� ORI 6W T41-
(Lot, Block, Road, etc.)
on R Z o w/c1 CR Ee 1- in, O 1Z f E IV TA L
N.C.
(Waterbody) (Town and/or County)
He has described to me as shown below, the development he is proposing at that
tion, and, I have no objections to his proposal.
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1 T
6�
7
BOAT
LEFT
c
Signa ure_
Print or Type Name
(95-1 C)y9 c937/
Telephone Numbe
r 2
Date