24365_COATS, CHARLES M_19991202

CAMA and DREDGE AND FILL"
C. E N E R A L
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
Address
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
State
Phone Number
Zip
PROJECT DESCRIPTION SKETCH (SCALE: )
Pier (dock) Length j
Groin Length
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions ?�
cubic yards
a
Boat ramp dimensions
i
Other
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

775
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No- 5 t*N's . ?AMUCO COLMY. NC.
SURVEY BY: MA 7HEWS & BUZZARD FLLC.
.iltk Y 114, 1999 SCALE : !"= 50'
21' D 30'
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T-us P"T tS or A SUFMY OF AW EwSTNG PAP--E_ OR
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
(Name of Property Owner)
property located at ,
(Trot, Blor.`,�Road, �etc.)
S3 , N. C.
(Waterbody) (Town and/• County)
He has described to me as shown be?or,,, the + velopment he is proposing at that location,
qnd, I have no objections to his proposal.
DESCRIPTION AND/OR DF'�.OPOSED DEVELOPMENT
(To be ,filled in by z��,,osing development)
�ih �j�� Ne✓,nark,
f' '-0/4
,41
Si natureC/
_A � i u i�t 'v-e
Print or Type Name
Telephone Number
Date: raj �1 k 0 VII,�.

ADJACENT RIPARIAN P-'.`OPERT Y C � 0,il� STATEMENT
ad >25 &a ---
I hereby =tify that I own property ,4dl -,Cent to's
(Dame of Property Owner)
7 p-gerty located
(Waterbod y) (T_ __ _ _ _, N.C.
own and/or Cou�y)
He has described to me as shown uelc);, Ci- development he is proposing at that location,
and, I have no objections to his jroi , ..
DESCRIPTION AN.Dl,4, OF PROPOSED DEVELOPNM'V-'
(To be filled proposing development)
11 `
Print or Type Name '
Telepho e Number I
Date:

. REVIEW OtrICER or PAr1LICO COI N—Y.
Ns? CR PUI To WHICH THIS CERIMCFFTION IS
S .t-UTCF" REIVREVENTS FOR PRORGNo-
�. OF=eCER
UICATE OF SURIEY AN17, ACCURACY
E. MAi KEwS, CERVY THAT IHiS MOP VIA$
joER MY OPECTION AND 5DFTRV!S10E=RCR
ACTUA_ SI F.VEY of LAND:'-+••+
AE AS CALCULATED SY LAII�VGES AND DE —
IS 1:1'1�:FHkT THE :):).;N:)ARIE5
rEYE'J ARE SHCANN AS BRDKEN LINES;
k4Y HA AD AND SLAL THIS
)f,Y OF 1999-
iIGSaL LAND S' RN OR
`OtO4111rrr///
;.ION NUMBER % ACIiRQ�!♦♦i�i
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SEAL v� i
f L • 12822 Q
4,
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TS
914 TS
OUNTY, N.G.
76
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PING PARCEL DA
8
28,511 sq.ft.
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22.993 sq.ft.
0.53 ocres
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1F THE
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'.111A REGISTRY.
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J BOOR
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BLIZZARD SURVEYING PLLC
-�°` .Aal Land Surveyors
Iv
+( UU= E. Matiheaa R.L.S. L-1282
Blaney M. Bliszard R.L.S. L-3775
1200 wintergreen Ed.
Core City, N.C. 80529Phalle
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Paz (252)537737070
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ADJACENT RWARMN PROPERTY OWNER SrAT'EMENT
(FORA PMWUNUOVERB'1i BOAT Un)
I herby =tify that I owes pmpaty adjust to r ` � 's
(Name e Property OWW).
property locued at ,1�,9.✓Ai� ,�q� �� Si t1
Qii/�, .,%.��_.,_._.�_.�a in ,,.e.r N.C.
'at ody) (Town : +� cc
�
°)
He hss dr-'='hei to me, as shown Wow, the derr3opmm he is psqosin,g at dw
location, send,-Lhave no objc:iuns to his proposal. I understsw4d th6 a pieduaovercd bm lift
mus: be set back a ritinimum distance of fftm fea (I5') Ptom aly M%a of riparian are= unless
wawa by me.
19l.�olwish to waive the setback reqW=ML
I P� wish to waive that setback . quir=eV't.
vF.SCIUPS{)N ANDtOR DRAWING of PR4M>;U McVia,cRKEIrIT.
Ma be jWed in by J vi&ai prPosftg
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y
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S*UIU e
zffA
• Flint or -Type Name
Uephone Ncrmber
66-c0-6t
699-. 90/90 d 606-1 MEMEW
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