20373D - Robbins

4 CAMA AND DREDGE AND FILL
GENERAL 1 :� 020373 -00
,....71r-. PERMIT
as authorized by the State of North Carolina
0 Department of Environment, Health,and Natural Resources and the oastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC ? /c Uv
Applicant Name KC'g R0 Otlt N S C4) Sul k Ri 'N t( Phone Number 0/ a) .)59` y( 06
Address 10 Y Af• (Qbt,"4A, bsi '
City �1it k‘>fs.--u, State Al C // Zip �'�d'�
II
Project Location (County, State Road, Water Body, etc.) 6 (r , S� St,� /e T Ci"�`/ few (,4-C�ti"7�
rna-N _ 1 CA-AA L- — UtJi low (1LA&47 �l
Type of Project Activ y PR Oa-JP - ' e e-,
PROJECT DESCRIPTION SKETCH (SCALE: �� O )
Pier(dock) length 6 Xl6 ie.v C- ---V
S
Groin length cj J'/5, Vim` • 47
number St
Bulkhead length
max.distance offshore
Basin,channel dimensions f, l� 3 U ���
Y'1
cubic yards 7l0 fX/v 1
Boat ramp dimensions
Other 7-kiF4-0-111YYO •
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C. P
This permit is subject to compliance with this application, site Ar
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drawing and attached general and specific conditions. Any
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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.
. -4 - ' /1/k-
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- j,—/j—OU q _/3-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 y 4)(jU
objections to the proposed work. attachments
• //

C VANCE E.KEE,MAYOR
� .... f... , TODD N.THOMAS.MAYOR PRO TEM
Vf - Q
KENNETH 0.BATTS,COUNCIL MEMBER
= DOUGLAS C.MEDLIN,COUNCIL MEMBER
yi1 v
'I URF C TY LIONELL MIDGETT,COUNCIL MEMBER
NQ R�N LP r RICHARD B.TURNER,COUNCIL MEMBER
NORTH CAROLINA 28 4 4 5 ROBERT KILROY.ATTORNEY
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/UNCOVERED BOAT LIFT)
I hereby certify that I own property adjacent to Red °1 T.i,ie p,A /)tiS 's
(Name of Property Owner)
property located at G/I/ 6 SI
(Lot, Block, Road, etc.)
on (A,04/ , in ,cur (44 . , 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.
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)
Signature
Zi G/47).7 Lr' . ,r6a°p .c-i a--,
Print or Type Name
9je) — 3,-e— D 3 5(
Telephone Number
Date: D W/
- -- W. . �.__. _ _
•
•
.r .. L.J.

JaF c VANCE E.KEE,MAYOR
• �
TODD N.THOMAS,MAYOR PRO TEM
CA - � Q •
KENNETH D.BATTS,COUNCIL MEMBER
URF C TY k42
1 DOUGLAS C.MEDLIN,COUNCIL MEMBER
C� LIONELL MIDGEIT,COUNCIL MEMBER
HO RTN LQ RICHARD B.TURNER,COunCIL MEMBER
NORTH C A R O L I N A 2 8 4 4 5 ROBERT KILROY,ATTORNEY
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/UNCOVERED BOAT LIFT)
I hereby certify that I own property adjacent to /0,1 �'n 6,�,,,�s 's
(Name of Property Owner)
property located at /1/
(Lot, Block, Road, etc.)
on l4q✓1A7 A 4 (A,U4( , in 3'u^ C11.I,45,L , 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.
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)
•
r 1
Signature
, er/✓ ,/n.)
Print or Type Name ✓
770 r9z Z8s
Telephone Number
Date: o2,s-o?Cod
Yam_

ti
4030
COASTAL PLAIN CONSTRUCTION IOR OG 66 19I53D NC
RIVENBARK,CONTRA 702
JOSEPH K Date
4093 4TH STREET 910-328-0137
P.O.BOX 2794 S0 b0
SURF CITY,NC 28445
to the ,�E °a��
Pay ivo Dollars ���°�
b Order of /DD
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t:053000 L960: 0006070