15966_FESMIRE, JERRY_19960209

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CAMA AND DREDGE AND FILL` - 7
GENERAL �'�
PERMIT
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 ovf/z/Oo
Applicant Name Yjr tm�rc
Address
City �'•./� �;%,f,
Project Location (County, State Road,/Water Body, etc.)
Type of Project Activity Kj n Or_f- C7 2 -k' x,
PROJECT DESCRIPTION SKETCH
I
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore ^'
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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T'16�,.
!2 �
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.
Phone Number g/e9" 29,2'6,77y
State A,C Zip sT.S �Z
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1 / applicant's signature
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permit officer's signature
issuing date expiration date
attachments !%?// //Oo
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee
Management Program.

EROSION CONTROL SPECIALISTS 5191
ATLANTIC BEACH CAUSEWAY
P O BOX 3355 [phone]
ATLANTIC BEACH, NC 28512vor
1999
66-30/531
--HHLLARS
om.u,
HAST CITIZENS -
All-lic Bea Bank B Tru2851 Company
Allanlic Beach, NC 28512
C RIP � � � wac cp* ITW-C .- -- - .._. - / — -
1:0531003001: L3 L 2 L4853Slim 1999

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
E
is property
located at /2� L06&0(-&GX /.el JL5 on
(Lot, Block, 'Road, etc.)
� C� U � s0 tJ..1 r,'
,�eCC-S� (2".4 ,,t A'PL-L_ i n �f s l � �rtC'� L-L � H �2[� N.C.
(Water Body) (Town and/or County)
He has described to me as indicated below the development
he is proposing at that location and I have no objections
to his proposal. I understand that a pier, pilings and
dredging must be set back a minumum distance of fifteen feet
(15') from my area of riparian access unless waived by me.
I do not wish to waive that 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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Sirs na re
pits 'f/�i es
Print Name
7, I
Date
Phone Number