24372_BURNS, RILEY_19991222

CAMA and DREDGE AND FILL r
G E N E R A L 24372
PERM I T
as authorized b the State of North Carolina
ut y
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
Citv
Project Location (County, State Road, Water Body, etc.)_
Type of Project Activity
State r,� C Zip
and attached general and specific conditions. Any violation of these terms
applicant's signature
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-
permit officer's signature
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
issuing date 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 Carolina certifies that this project
is consistent with the North Carolina Coastal Management Program.
application fee

1".'^1!': T't�rfldjihL�)lRSbly�• - -:,, __^ '
BROAD CREEK CONST INC. 5283
[phone]
11 Creekview Court 66-152/531
Merritt, NC 28556 DArE— j �r�r
PT
THE OE OF �—•-
LARS
Wachovla Bank, N.A.
Uayl-m. NC =15
FOR 4 1,�-C r �~,[.t/1 •— n �'� � t ��
078L 00L24011' S283
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I hereby certify that I own property adjacent to
property located at L o t 4-/ Ou u ,, J0 a c�
on
1' (lot, block, road, etc) F
/� reEK in 1
(body of wa�er)
North Carolina in (town)
o nh i' � Ct) County. The proposal has been described to
me as shown below; the development, a
and the
(circle on
proposed location, and I have not objection to the proposal. I under-
stand that if the development is a pier, it must be set back a minimum
distance of 15 feet from my area of riparian access unless waived by me.
I dodo not wish to waive that setback requirement.
(circle one)
Description and/or drawing of proposed development: (to be filled in by
individual proposing development). INDICATE THE SIZE AND LOCATION OF THE
STRUCTURE AND THE DISTANCE BETWEEN EACH PROPERTY LINE AND THE WATER.
44-1
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Pi- clo t r t"i
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(Original must be retained in the Inspect
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on Departmentl
Signat re
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Date
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Please Print)

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December 10, 1999
Riley W. Burns
280 Quail Road
Merritt, NC 28556
Mr. & Mrs. Frank Voorheis
234 Quail Road
Merritt, NC 28556
This is to request your signature on the Riparain Property Statement concerning a
electric lift that I propose to have installed at the end of our current dock.
The installation will require four (4) new piles as shown on the diagram. The distance
to the adjacent property lines is shown and is well within the fifteen (15) foot
requirement.
The lift will not extend past a line between each of the current dock configurations on
either property side.
Sincerely, '� /
Riley Burns

December 10, 1999
Riley W. Burns
280 Quail Road
Merritt, NC 28556
Mr. & Mrs. Justus Straubmuller
300 Quail Road
Merritt, NC 28556
This is to request your signature on the Riparain Property Statement concerning a
electric lift that I propose to have installed at the end of our current dock.
The installation will require four (4) new piles as shown on the diagram. The distance
to the adjacent property lines is shown and is well within the fifteen 0 5) foot
requirement.
The lift will not extend past a line between each of the current dock configurations on
either property side.
Sincer Y, `�✓ � cam*—rt�—
Rile, ' . Burns

ADJACENT RIP RTAN pROPERTY OWNER STATEMENT
I hereby C%rtify that I own property adjacent to U/
irnS.
property located at L v t # /
o4q�
1 oa(lot, bl,d, etc)
on e in F /
(body of waer) (town)
Co
North Carolina in o n,�����unty. The proposal has been described to
me as shown below; the development, a
and the
proposed locationcicle �on
, and I have not objection (torthe proposal. I under-
stand that if the development is a pier, it must be set back a minimum
distance of 15 feet from my area of riparian access unless waived by me.
I sLgZdo not wish to waive that setback requirement.
(circle one)
Description and/or drawing of proposed development: (to be filled in by
individual proposing development). INDICATE THE SIZE AND LOCATION OF THE
STRUCTURE AND THE DISTANCE BETWEEN EACH PROPERTY LINE AND THE WATER.
l 0 1
•a
C
7•1 c Tc Cvr� enr n- �,k� arc To
/fir c1n t r t'y P
r-Cf. r fy
�- i n e,
Lille
(Original must be retained in the Inspeetion.Depa tment)
S gnature
Date
Name (Please Print)