22353_COLLINS, DANNY AND ERNESTINE_19991026

I
Applicant Name
A AAro«
CAMA AND DREDGE AND FILL
GENERAL -`%T�� 22353 �
PERMIT
�0
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC
City State
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION I SKETCH , ICi
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
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 be-
come null and void.
This permit must be on the project site and accessible to the
permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that 1) this pro-
ject 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.
attachments
Phone Number
Zip
(SCALE:
ltI
applicant's signature
permit officer's signature
issuing date expiration date
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee
Management Program.

DANNY JOE COLLINS
ERNESTINE WARD COLLINS
82 FERNSIDE CT. PH. 919-639-0592
ANGIER, NC 27501
1N 0 % %Vj?
j o-)
5210085 58 7166
$ 50,0 v-0
Bln�l
77001
BB&To�a.�. um�� 91 EAST DEPOT STREET
(/-.�.-}r��-� AN1G TIER, NC 27501
�una1� \ r7CY-� Jf9nalwr �r ����� INS
-Il:0531O1&2Ill: 521008SSSans 7166 J
�•lN�t bi�ris�.,lW'iAs�YGGri4faii:� :�t,tl�',..�i;�.c.. ,h^tiri�.hr'�.x:, �e �`»�i xi,

J OCT-18-1999 MON 09:11 AM NO DIV OF COASTAL MGMNT FAX NO. 2522473330 P. 02
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSIBOATLIFTIBOATHOUSE)
C'/I'°5
I hereby certify that I own property adjacent to ��;,� <<^ �-* ��e kA s
(Name of Property Owner)
property located at Loi , ®A LT; 3 311 5 A e rc s r"4 0 ilr &^-e
(Lot, Block, Road, etc.) .
S i �GrCr Cr ec lc �/�`i r. Tk /�/OBI
on h- L << dt , w/�:' , in S ,r y , ry Cct r 4 re- T , 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
pilings/boatliftlboathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
I dg not wish to waive the setback requirement.
I .do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
,9bf Ls)
Q W a)
Signature
Print or Type Name
�52-393- Z98
Telephone Number
Date: 10 - ,v2 to � 9

OCT-18-1999 MON 09:11 AM NC DIV OF COASTAL MGMNT FAX NO, 2522473330 P, 02
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOA TLIFTIBOA THO USE)
�s
I hereby certify that I own property adjacent to' ,�.?y ,.���s�'� t✓ �`'/ 's
(Name of Property Owner)
property located at Laf 3 9� "�; �� S c.�e sr,,4 fir; CSt �v�.- C,-� k e/�
(Lot, Stock, Road, etc.)
on v✓1,. 0 � �, a in $w4�s �6 r-o Cfsf 7` 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
pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
I dg not wish to waive the setback requirement,
I ,to wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
'x, 5'71-Z "
®,eJ-
Signat e
Print or'Type Name
Telephone Number
`-'
Date: '

1 VICIN/TY MAP not to stole 1
�Co poGK
ao•'' Q•�'3, S.�cQs is
\ 4�
Aj _
i </
IfoH ('ifl,1=� SeT
-L9. 4L •
�•-�� u of fix• IV-oN P►P�
M L zo N A 8
o pvJE1.L
X• `�` ��o `� f, AfMY. ;:Lao(? Zc wr_ DOi
pip 19
v, o
J
Ex. Qeer
R`
O
0)
NOT FOR RECORD/NG
(,PATE O. PH/L L /PS HEREBY CERT/FY
7HA7 TH/S MAP WAS DRAWN UNOER MY
SUPERVISION FROM AN ACTUAL SURVEY
MADE UNDER MY SUPERVISION, THAT 7HE
RAT/O OF PR,,,S➢O�N��.BD,o('ALCULAT {
LA7T/TUDES�tiaiq D� �,+�.�77f1/�/S�
THAT r.H WAIN, ..cp*fl I
ACCORD�N W/�fl�.�-�W.�'(""�OR7�l3f�J AA$ AMEND-
ED. W/A�VESS.' HAND A ySEAL. '�N/S
3 = CA mfsF3
r L-2640
� e
°a
`CST u °
6t9Ceilesi:49i�5
0
\_�cu EX. Q884
N77 00A0 0"
,,v _
S(i-l" �I' 13 \" 4-5•vo
�X Ex- ►cc o np1;
TiG QiCnv `/� APG- ZZ•Co9
�,
99•q� 12 E� a Z _ '� AD.- So•ao
00
(� 41O A�
S UR VC Y FOR
CaLLIfJ
I
1
v1►11rt nnX rv�sP �P�Pr.T CO. REF.' Lor 3 "Sl�v�� GjLrcEK
NORTH CAROL /NA rtAWWT10t4 PN.TL ".Z,4 Ra.99
SCALEt'�ZWODATE Fc-_-S. z 1,-?99 COUNTY REG/STRY
►go 50 U --- 106- — -LCL> '30C
PATE PH/LL /PS AND
PO BOX
REG/STEREO SURVEYOR NOL%fnCS W A N S B O R O
ASSOCIA rES PA.
214
N ORTH CAROL/NA
6?8
PRO✓ECT NO. Z6