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'41). CAMA AND DREDGE AND FILL
GENERAL l4 o 920314—D
PERMIT
as authorized by the State of North Carolina
0 Department of Environment, Health,and Natural Resources and the Coastal Regources Commission
in an area of environmental concern pursuant to 15A NCAC 7 ,/ U(.1
C/v ,, 3Eo w'- C�/�� 7 D.S - ` �7 5-
Applicant Name RDeR--1 E . ,'M.-y Qb I Phone Number V r ) 2(S )►OL V
Address 35"OO t0 r 4114'6A. D C II Ft 5-1R.AN 0
City CA/SA MA-tu I C 44 1 7 _
State /1 Cott zip a?,)-.a?,)-.(o�o`��_ }�
Project Location (County,State Road, Water Body,etc.) ' 3 /�,�o�� / w 3/06e d2 /v 4ete v1i
>—To pck l c/t/5/ f�'�] f,2"`'-t 8 'k T C N,- / n E( , 0 'DF.2 L°o .
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Type of Project ctivity /P
-j /Ve75 : lPR z n. 4/-f' p__.?Fee . 4./t o t AS7-46‘,7- ,Ater. i P
Zir
/t/0� Ft.-�(AV- i,i/4-fritAit €1� p4. q- Li,t j�1.41,1",- ae- -e^- , .T/1fOR AA( 5dtA Li-G /2ortoC.,f•
PROJECT DESCRIPTION SKETCH (SCALE: / /f 0 / )
Pier(dock)length , ' �c
X/UO ' eolp-s-e - \ G
Groin length Ca ?
-o
1\ ... .- •• •
number
Bulkhead length }
max.distance offshore ,"\ - i
a'?„
Basin,channel dimensions ( --,r.,
cubic yards (7_ ---'..
-3C, . ., V o r
Boat ramp dimensions .-. o .6--^ S.
Other /6"K) K
h DECK- . -�� �- ,r`.�
rs ' \\NA (...S
, . 4-;::). \ ,,,, ,,
1,
This permit is subject to compliance with this application, site . ' g G /� ` D� ��^ -/#�'
drawing and attached general and specific conditions. Any Gtt�(.�-�' / P 4
Y � 9d-mot
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 ttt��� permit officer's signature
permit officer when the project is inspected for compliance. L,./A4141( _
The applicant certifies by signing this permit that 1) this pro- p-35-a) =o�5J "0 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 a.)
objections to the proposed work. attachments 7f� ./�
In issuing this permit the State of North Carolina certifies that oO �� ! 7
this project is consistent with the North Carolina Coastal application fee l' �( 7�
Management Program.
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/UNCOVERED BOAT LIFT)
I hereby certify that I own property adjacent to. 1 gaird/ke,cez- 's .
(Name of oy Owner)
property located at .J / a . ', _ ' ,
(Lot, Block, road, etc.)
- _ on � -- , in � ,e��� � ,, N.C.
(Waterbody) (Town and/or Conn y)
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 jj wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
N,...il? ' ' /0,— &A-Aka) ---.07 6 / ,e_ t - ,ems ..F�t-e-- 'r -
Mezz/t-11-6'1- - i-o)-,- --r-e_;p ,a.._ /0/X a/ t7 .
Sig tore .
•
- am
Print or Type Name
Jp— 270 — Z / .
Telephone Number
Date: f —/3—OD
r
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/UNCOVERED BOAT LIF7)
I hereby certify that I own property adjacent to 's .
(Name of Pro rty Qwa -)
property located a A / J, g 1/?/ f .6 Dl0 ! 62 i ,�j, ,
(Lot, Block, Road, etc.)
on / , in� • & �i j , ,-ei-ii/ z-J , 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 b me,
I do not wish to waive the setback requirement.
I �2 wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
a, akt,ita). 6 �� .e - .,/,, .,11)) .- (e .
/y , 7, 2 PiLrp-. .Gai „ez_. /. . A o lv
Sign re
Print or Type Name
,
`�Ia — zoo —=/
Telephone Number
Date: /— / 3 — o )
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LOT 3 OF •
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AREA-.I5954.8 SQ.FT, /-cr
OR 0.366 ACRES en
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TRACT 2 OF MA.28,PG.09 m N ; NOW OR FORMERLY
"`• v TRACT 1 OF M.S.28,PG.09
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ACCESS/UTILITY EASEMENT
5 41 z91 0111 W FOP AS PER 0.B.115B,PG.762
EIP ; V-52' 1 .
73'I73•. 'ACCESS/UTILITY EASEMENT
NOW OR FORMERLY I 115 PER D.B.1178,PG.262
LOT 2 OF
0.8.1158,PG.262
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zl� 29' Ol"E Z42.63'
NIA ,-'. R/W OF 5"
BURY AVENUE
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, ANDERS°14 ------- ���
REFERENCES .
DEED 8UC7K 1158 PAGE 262
DEED BOOK 1158 PAGE 255
oR• PC pa FWD'WWI
DEED BOCK PACE
®•eaNilrOgdrPPF6Cuao} VEEP BOOK PPOC
Wil•Mae CO REIf*NAM'WC) MAP BOOK --28_PAGE E•061110/$•147
RAM•RblgCfWAY MAP BOOK 17 PAGE 57
c�a■Caitetl$ s�.enrn+swt MAP BOOK PAGE
THIS IS TO CERT IFY THAT THE SUBJECT PROPERTY
-- -- - -I5 LOCATED JN FLOOD ZONE"AF"WHICH Ts A BOUNDARY SURVEY
SPEC JAL FLOOD HAZARD AREA AS DETERAI INED BY FOR
THE DEPARTMENT OF PIOUS INC AM) URBAN DEVEL— CLARENCE WADE McLEAN Jr. AND WIFE
OPMENT COMMUNITY PANEL_ # _szo1�O�
AS DATED—_ JANUARY21,Le . ,.ej G TPee --- JUDITf-I HOEFT McLEAN
i trf.IV.TEASTER,J3EG I ST E jT y S_ I 7 PROJECT 0:96-07-0s-a3
R. HAROLD McCLAIN 2549
P.O. BOX 1284 f
HAMPSTEAD, NC 28443 66-19/530 NC
Date~�1�/ Z 2105
Paytothe n ,/� l �^
order of Xd_ /al `� J e.2-t?-e
Jj'd..Q.Lli.a.-7/ /dir `Dollars 8
Banff merica. � /1
For* O10 34-D A- /A I AV
I:053000L961: 0002L3273L2Lll' 2549 Pcl-a31�