16102_DEMENT, RUSSELL_19960530

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CAMA AND DREDGE AND FILL
GENERAL
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-pirld NY 016102
PERMIT C_ CA -0 T -
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 Z H / / C t yl� ` c� E'
Applicant Name Phone Number f f 6 w r�/
Address
City �% ..o, ,� ; f �,. State ' Zip "I
j
Project Location (County, State Road, later Body, etc.),+rd
Type of Project Activity
9Polk r ' h _
PROJECT DESCRIPTION SKETCH, It, j.7 T4 (SCALE:
f
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
tk' r
Basin, channel dimensions
cubic yards _
Boat ramp dimensions
Other � r
1
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-
come null and void.
This permit must be on the project site and accessible to the
permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that 1) this pro-
ject 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.
U4
applicant's signature
permit officer's signature
issuing date expiration date
attachments It- Ci 9 C 7 1-1
In issuing this permit the State of North Carolina certifies that�-
this project is consistent with the North Carolina Coastal application fee �Jf
Management Program.

5195
S. E. TURNER MARINE CONSTRUCTION
CHARLES R. WEBB, OWNER
P. O. BOX 1885 PH. 919-726-1253 6666=85
MOREHEAD CITY, NC 28557 531
DATE CC
0C
PAYTOTHETHE ! l
ORDER OF
IT7w
DOLLARS 0�
Centura Bank.-"i�kI
Atlantic Beach. NC 28 2G QQ _ / 'o Do
FO
II50000 5 L 9 SIIm i.0 5 3 L008 50i:0 28
20 1548811'

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER)
I hereby certify that I own property adjacent to ; ` y 55 6 z-c
property located at 3-�'�/�DJJ C CJ LA F-7--
(lot, block, road, etc.)
on ITNM ml fDC cg. ,44- in C 4p1 ux�6� --L , N.C.
(water body) (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 must be set back a
minimum distance of 15 feet from my area of riparian access unless waived by me.
I do / do not wish to waive that setback requirement.
(circle one)
Description and/or drawing of proposed development: (to be filled in by individual
proposing development)
Signature
Name
Phone Number

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER)
I hereby certify that I own property adjacent to 6LtSS6LC D&'MOJ- 's
property located at -73 4J 6-B 9 (--0 uP`7-
I� (lot, block, road, etc.) ,�r11
C1-t
on m��C O►_tJ,A in C �T���� , N.C.
(water body) (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 must be set back a
minimum distance of 15 feet from my area of riparian access unless waived by me.
I do / d no wish to waive that setback requirement.
(circl o
Description and/or drawing of proposed development: (to be filled in by individual
proposing development)
S �� A'TI 1qC
Name
Phone Number

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