25549_BRIDGES, BILL_20000523

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G'9
CAMA and DREDGE AND FILL JA9 (!�)
��49
� G E N E R A L
PERMIT
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
City State Z i p
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
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 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 permit the State of North Carolina certifies that this project
is consistent with the North Carolina Coastal Management Program.
issuing date
applicant's signature
permit officer's signature
expiration date
attachments
application fee

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R SANDRA L. BRIDGES 66-85/531 7395
WILLIAM E. BRIDGES —(tPjj�05Q 50031341a
LIC. 5992005 6005499 DATE 60
2421 CARBONTON RD. PH. 919-774-4340
SANFORD, NC 27330
PAY TO THE C77�CN-�-r s�
ORDEROF v
DOLLARS 8 a
CENTURA
Centura Bank, PRIME ,
Sanford, NC 27330 �
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR 9711ERIMOORING PILINGSIBOATLIFTIBOATHOUSE)
I hereby certify that I own property adjacent to /.(/i �� Ate► !J t� �R �.S 's
(Name of Property Owner)
property located at 1--1 V f= 01+h- i20A-0 ,
(Lot, Block, Road, etc.)
on &6UG 500J0 , in 6y-r&�7 69, , 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. I understand that a pier/mooring
pilli_ngs/boatliftfboathouse 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 die wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
NL'4)
f ,dOA.f
J-iG'f
Signatu
Print or Type Name
IZ5�9-393-�21�0
Telephone Number
Date: 115 -9 - U 0

�/ a w.�, _ i► /3V":.'3 672_ :.�... :q_ _. �%XG �� MAI I e i w a ,r� q M V
V '►r7�.t'rJUr`�i rJ .,>, s a s.1r.-�.ar• -
(FOR A''plcJ?/MOORING PI!INGSIBOA7-L1)7B0ATHOUSE)
I hereby certify that I own property adjacent to ��j't✓Ic�a,�
(Name of Property Owner)
property located at 1. IV 45 0,4 jr J,OA-0
(Lot, Mack, Road, etc.)
on &QC2YC SWAJO in 69, _, 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. I understand that a piertmooring
pilings/boatliftlbowhDuse must be set back a minirnurn distance of fifteen feet (15') from my area
of riparian access unless waived by me.
I da-md wish to waive the setback requirement.
'" i Qq wisn to waive tea, >Giiiai.x tcyiiiiCc„ar;i.
DESCRI'P'i"ION
AND/OR DRAWING OF PROPOSED DEVELOP.1vIEN7:
(To be ftUed in by individual proposing development)
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pe4- ryt
Print or Type Name
Telephone Number
N00
E- ,00AT
&.,yY
Date.-5�C�Q
MOY_PC-')AAP P7.
TOTAL�P.01