26686_DEANHARDT, BRIAN_20000901

LAMA and DREDGE AND FILL
G E N E R A L 6686
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
Address
City
Project location (County, State Road, Water Body, etc.)
Type of Project Activity
State
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.
Phone Number
zip
issuing date
applicant's signature
permit officer's signature
expiration date
attachments
application fee

BRIAN DEANHARDT 3 215
NCDL 5441005 PH 291-8624
2006 CHELSEA DR
WILSON, NC 27896-1400� 66-7704/2531
Date
Pay to the >
Order of
C-
State Employees' Credit Uni Dollars ,.
on
26 Wilson, North Carolina
For i 4 &R Lam"
1:25317704 �_,:Oj3605069B24lie----_.....
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A" _I inn , . _ . 2 L 5
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trvn ^ rictvmuuAjtvu r11.1NGSlIiUAlLlf!l1i0A7HUUSE)
I hereby certify that I own property adjacent to 's
(Name o%Property Owner)
property looted at
y� I J- ,r (Lot, Block, Road, etc.)
on — 1 k f) y' , in iC� iDt- , 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 sec back a minimum distance of fifteen feet (15') frog my area
of riparian ace= unless waived by me.
I dalnut wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION A IOR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by Individual proposing development)
paoPotro �o p� I.•��ar SL,�
rL31
Ck
IJ
Fnnt or Tvpe Name
Telephone Number
Date:

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to 601" -) i V91t 's
k4rv't
(Name of Property Owner)
property located at Z( tj4v-, U l G
on �(� ' / (Lot, Block, Road, etc.)
� �`� �� U (l , in Na(" , 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
pilingsiboatlift/boathouse 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 da wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
t
_ o
PN'
Signature
Print or Type Name
Telephone Number
mP

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h d ,emu s ass eu 6n k�A
r o &-0 l ham, Spa c.) C. 1 I crd Boa- � c,d
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AUG 3 1 ZDUU
COASTAL MANAGEMENT
OREHEAD
140� r4-c�. 0-[�1Ct2 Horns

W Lip �
Location: I Field Rep.
Phone: Date cf Report:
Descrintion of Project: P i e,
Date Project Reportedly Comp- ete : p
(1)' Do the measured dimensions of the developmen differ from those
indicated in the perruit .an orkplat:. Yes N Have all per -,Lit
ccnditions peen satisfied? t!#S / No '
COMENT : .
(2) Cc" ? 7merit=tioP. and Ergs 10n Control: Hcs qr- s c
cri c%rer"w isa S ta_ i 1 i Z e^_ all dis turDEC arc=.s : � � � �i0
1
COMEHENT
(3 Fu--,re Mcni tori c nd rn P_ct = r
- rl a.. fOi'CE?iET'i%. 1 S fury. ET_' i raves t1Qat10P_
Cr enforc-me-t action nesdEd- Yes O
CQ?=iNT :