20304D - Brown

CAMA AND DREDGE AND FILL •
GENERAL , %1 :
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� PER
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MIT
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 7 . I 0v
Applicant Name VeN — Phone Number (IVO) d' 'v3V//
Address r5 e 9.74`
City 51A f Ci / State /VC Zip ,22.4/V5`
Project Location (County,State Road, Water Body,etc.) eqjj A e«� /met-' — c—.1 it-
Oc 5/ak A
Type of Project Activity / r,//4"6 ln.¢ f / ',4 i7Q
PROJECT DESCRIPTION SKETCH (SCALE: / '� 3O )
Pier(dock)length
Groin length
number
Bulkhead length -
max.distance offshore !
Basin,channel dimensions ` 1
cubic yards
Boat ramp dimensions
/, ► x001
Other -
P "" 9os q 57, . p
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 applicant's signature
come null and void.
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- 3— d- Do h - -{)c)
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 7 j/, /50o
objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that ) p ) 74 3
this project is consistent with the North Carolina Coastal application fee
Management Program.

JR C'� VANCE E.KEE,MAYOR
h '�""`4" TODD N.THOMAS,MAYOR PRO TEM
Ty
V, �, / - -
iuRF KENNETH D.BATTS,COUNCIL MEMBER
T�-r!• DOUGLAS C.MEDLIN,COUNCIL MEMBER
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y � , `'r p LIOHARDMIDT ETT,COUNCIL MEMBER
e HO WTI" ` RICHARD B. URNER,COUNCIL MEMBER
NORTH C A R O L I N A 2 8 4 4 5 ROBERT KILROY.ATTORNEY
r
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
. (FOR A PIER/UNCOVERED BOAT LIFT)
I hereby certify that I own property adjacent to /6v��,4�-t xJ 4 , Bkott j() 's •
•
(Name of' Property Owner)
property located at 96 5/ 9 " / ., ,
(Lot, Block, Road, etc.)
on e 19-C--- , in S0/ F- / 1 Y /6 jj-, L C)cc> , 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/uncovered boat lift
must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless
waived by me.
,1/ I do 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)
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A A4 P Signature
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Print or Type Name o r
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Telephone Number
;0 - - — v Date: � A 5 - O D
• RO. Box 2475 • 214 N. New River Drive • Telephone [phone] • FAX: [phone]

FF OMASVILLE SPRINKLER, INC. FAX NO. : 336-476-6941 Feb. 28 2000 02:39PM P1
02/28 '00 12:67 !D:LANIERFAX3800 FAX:
. PAGE
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COLI:uK C MIbL eoVwGry r,weeN
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NOR1H N O Fi r M CASOLINA Afi-URF CITY wcN•,wa. loy.TuAkEa,:.o:A.�:,�••gyp
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/l/N
464-T 14P
I hereby certify that I own property adjacent to.451 AJ 7 4i4 MJ D. / ,j 's
(Name of Property Owner)
property located at q:ri 57 ofIfr-k5!k C 7"
(Lot, Block, Road, etc.) '
on , 2,44.)y}1--_ , in Suie l_-Y�C SLeLti , N.C.
(Waterbody) (Town and!oi 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/uncovered boat lift
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 dQ wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled OS by individual proposing development)
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KIP Signature
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Print or Tyfe Name
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1 --- ---- Telephone Number
Date: Z.X 4L b. Z rsz)7..D
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P,p• (lox 2475 • 214 N. NAw River Dnve • TaIsphone [phone] • FAX: [phone]

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B. D. BROWN 7035
NC 2971306 PH 910-328-4341
364 TOPSAIL RD 66-763/531 CC
N TOPSAIL$CH, NC 28460 Date �13�C�
Pay lb f `C e /) /2 G r -1 I $ ,c1O
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Dollars 0
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Wachovia Bank,N.A.
WilmingionJ�'��N]C,.2/281411�2,/ din" �,/
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