20139D - Graham

' CAMA AND DREDGE AND FILL
GENERAL N9 020139- D
PERMIT
as authorized by the State of North Carolina
0 Department of Environment, Health,and Natural Resources and thg Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC 7" • 10U
Applicant Name Ir.J,N N 6 PA044 Phone Number(119 ) XI f/'V-S72
Address ? O • 60y 1 0
City --. 0,,J5o n, State ,/c? Zip ' 75 V f— 00/0
Project Location (County, State Road, Water Body,etc.) —� 11 9 TA .-7/
SCAR r C i- y r ,1-d `A�CP. rsAA ni vjA U cAn k i , O Ns 1 u w be .
Type of Project Activity ti4, v P, P r
401 PREVPN4 'tpr4f rr—eAt_A„CJ 14j;'h-4 /.kii, optc+; Jn , p fr SLK4-1l N<11 P..1'tF \
•-- ybMk 44\'MEAA- Pr 'm NOR` N. J
PROJECT DESCRIPTION SKET y y 1 �S .i \V SALE: /'; 3O ' )
Pier(dock) length Y �__ 1 _ _
ram_Groin length
ClAij
number T i
Bulkhead length j 1 _ L.L .
i i
max.distance offshore _ `w
Basin,channel dimensions \ / �1�(I`Ifi
1VFt1
k ( 10 3 .
cubic yards t
Z
Boat ramp dimensions
1 i teAsv, q 47 - ---7- 4-n7--
Other P
G,n/y r R Pr y'X.Dy' i,---T �1 '.
q j 1 `1 qT(- ")T
P L- PI—
This permit is subject to compliance with this applica on, site
drawing and attached general and specific conditions. AnyVii/
violation of these terms may subject the permittee to a fine, X—
imprisonment or civil action; and may cause the permit to be—
come null and void. �_ .
t4,_
This permit must be on the project site and accessible to the permit officer's signature
permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that 1) this pro- ox .) 5-00 / /-3 9-00
ject is consistent with the local land use plan and all local issuing date expiration date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no attachments 7il j oO
objections to the proposed work.
,-
In issuing this permit the State of North Carolina certifies that v
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this project is consistent with the North Carolina Coastal application fee (AV 4g O3/
Management Program.

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301 WEST MAIN STREET FUNERAL HOME,c 204 WEST STEWART ST.
P.O.BOX 10 P.O.BOX 157
"DEPENDABLE SERVICE SINCE 1905"
BENSON,N.C. 27504-0010 COATS,N.C. 27521-01 57
[phone] JAMES W."JIMMIE"ROSE • JOHN A."WINN"GRAHAM,JR. [phone]
OFFICIAL FUNERAL DIRECTORS OF
BANNER MUTUAL FUNERAL ASSOCIATION, INC.
BENSON, NORTH CAROLINA 27504
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AUG 2 4 2000
OF
COASTAL IMAONAGGEMENT
MEMBER: N. F. D. A. — N. S. M. — A. F. D.S. — N.C. F. D. A.

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081212000 09:29 9198948125 ROSE GRAHAM FUNERAL PAGE 03
';'-x @8119/2000 19:28 910-926-5066 PAUL BROWNING PAGE 01/01
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:--r• = AUG.14.2000 3:36PM , NCDENR WlRO N0.009 P.6
" Qwajg No! �T�F. FQ$�
Name Of Individual Apply For Parfait: •
ei1,. ' : , w, --, 4 / .
Address Of Property: ? li y' F4 S j'�,�.cc r"
(Lot or Sweet
t#. Street or Road, City &County)
I hereby certify that I own property adjacent to the above-referenced
applying for his +- property. The individualpermit has described to rte as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be letty. • •
provided with this
I have no objections to this proposal.
•
enased
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EArsaxamcncii
I understand tb=a pier, dock,'mooringpilings; breakwater, boat house set back a �distance of YS' myarea of , lift or sandbagsmust be
wish'tor waive the setback, you must ini ' ' access unless waived by me. (If you
�l the appropriate blank below.)
•
.. I di;wish to waive the 15' setback requir
• --....�� I�a..nat wish to waive the 15' setback regiment,
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Print Name • it
NC a ss
Tel ham Number � ��
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WithArea ENR
Code
_ �ria ►•+�,o�r�l°,� ' nor e�
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_� ' ; 3631
— 66-851531
.� TT 126300A243 S MR. OR MRS. JOHN A. (WINN) GRAH• AM, JR. � 7g
P.O. BOX 10 PH. 919-894-5150 DATE
BENSON, NC 27504-0010 G
G
PAY TO THE �j � /"l�/�('/�
I, ORDER OF ��� , :i
$ DOLLA 3
t; 4111.411 p
centuraBall1(® ammo
1. Benson,NC p.504 A / 4/ -"'
MEMO 363 L/E 0is�26 ►, 3��� b...I, �..,..
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