16332_GERINGER, SHELDON_19960613

CAMA AND DREDGE AND FILL
GENERAL
.LNV# 010332-- c
PERMIT o�
l
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 i% '% /V
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Address , 7 !G 14
City / State
Project Location (County, State Road, Water Body, etc.) X ra"4i" f .�/G
—74,e �cJ,�o/
Type of Project Activi
_r
PROJECT DESCRIPTION I SKETCH
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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(SCALE:
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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.
H
1 Y,
t
applicant's signature
permit officer's signature
issuing date expiration date
attachments U 7`r' no U
In issuing this permit the State of North Carolina certifies that p/
this project is consistent with the North Carolina Coastal application fee So s o
Management Program.

"A
D SrYFJ S 130STALN101NEY ORDER
TNI
6461,5007957 9606114 2 8 5 7 11] 5 j
SERIAL NUMBER YEAR, MONTH DAY POST UFFI-
CHECKWRITER
T: J
PAY TO IMPRINT AREA
FROM
.ADDRESS
ADDRESS f
C OD NO. OR
USED FOR
NEGOTIABLE ONLY IN THE S. AND POSSESSI NS
i:00000800 21: p'r' I SOO 79 s

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSIBOATLIFTIBOATHOUSE)
IM
lTey1 rn
I hereby certify that I own property adjacent to 15Z
property located at
7 c� C-/, nt-o?v C�"
(Lot, Block, Road, et(c.)
Fe of Property O
V"/ R/ ")
on P �v Or7� ;'-re, in � c-- 0 � , N.C.
aterbody) (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/mooring
pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian
naccess 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)
Print or Type Name
610 26;— 3/,
elephone Number
Date: -0L -

4 ' ADJACENT REPARIAN PROPERTY ONNNER STATFAIEN7r
(FOR A PIER/A100RING PILINGS/BOATLITTIBOATHOUSE)
I herebycertify that I own property adjacent to S�� 4/� ��ridle-r 's
Y r Ix Y J
f Pr rt O
property located at
► �t 0 r�� ©l4 �e$ b �T."e ope y -wner)
R1�owe r a tit,
(Lot, Block, Road, etc.
on Al - eo tJ R in A P, -re i �e-7-` , 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/mooring
pilings/boatlift/boathouse 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 DRAWDiG OF PROPOSED DEVELOPMENT:
l J (To be filled in by individ" proposing development)
` // ��� 6 P-17L
�
Telephone Num er
h, Date: 5