HomeMy WebLinkAbout14867_HENCOCK, GEORGE_19951101Applicant Name
Address
City
Project Location
CAMA AND DREDGE AND FILL -
GENERAL
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PERMIT � • : �� . �" ��A
as authorized by the State of North Carolina �''�
Department of Environment, Health, and Natural Resources and the �o Reso ry��mission
in an area of environmental copcern pursuant to 15A NCAC
cle,4—W c JG_ Phone Nu:rr9ber
State ° Zip
rty, Statp Road, Water Body, et ) --' 1 ''
Type of Project Activity
PROJECT DESCRIPTIONfr
Pier (dock) length
Groin len th low
�►i!�'.��I/l LLB �� . i i� � 1 /�! :�t .'
�r■■�iiir NEW
■■ ■■■■N■ ■ ■■ MONSOON
man 11MMM1
` ■■■■ s.r"' .17 moon
■■ ■■■■■■Sri
Boat rampdimensions m INN
Other ■■N
,moon
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-
vis'" consistent with the local land use plan and all local
ices, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
objections to the proposed work.
applicant's signature
/ !! permit officer's signature
issuing date expiration d--- —
2/ 1
attachments
In issuing this permit the State of North Carolina certifies that,
this project is consistent with the North Carolina Coastal application fee 7
Management Program. ,! 4,
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A JAC% 'T Fc ' L� �'R Q '� T" Qi i�TER STATEAFE, N
(FOR A PIERIMOORING PILINGSIBOATLIFTiBOAT1I0USE)
I hereby certify that I own property adjacent to 6<f 2c 4c �r_ 's
(Nalne of Property Owner)
property located at ��� 97 eoue
(Lot, Block, Road, etc.)
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on V ✓�-1G Q-- , �� �� �ItV- eZ4 y e—yJ , N.C.
(WWaterbody) (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.
DESCRIPTIOti A-N-D/OR DR 'WD G OF PROPOSED DEVELOPMENT:
(To be filled in by in.diizdual proposing dei,elopmenl)
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Print or Type Name
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Te,ephone Number
Date: 5
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PROPOSED BULKHEAD
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(FOR A PIERAVOORING PILINGS/BOA LIFl/B0ATHOUSE)
I hereby certify that I own property adjacent to 6T(f ortc, 44,u c-e,- c-k 's
(Nalne of Property Owner)
property located at Ca 0 e 14 a Vz L r X- CI r A e �o u 0� c
(Lot, Block, Road,
�etc.) ,p
on � A,�- (,ram , in r/1 ctii L ii�'L v4y e it), 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/boatlifL 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.
DESCR=ON AN-WOR DRANVDT G OF PROPOSED DEVELOPMENT:
(To be filled in by indiizdual proposing development)
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Signature
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Print or Type Name
(0) L2_63 3 l Gov i4
Telephone Number
Date: /o / 1 z � � 5
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PROPOSED BULKHEAD
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f�-T-) j r� (7 F' 7T ICI ►'r�I I_`t �; P O PE TY 011'i`'ER STA-'IM ENT
(FOR A PIF_RIMOORING PILI,l-(3.51B0,ATLIFT'i'BO.-1TI10L'S.-)
I hereby certify that I own property adjacent to 46_1 iQ, ek L tt- 's
Name of Property Owner)
proper y located at k 6 k 9 G)Q�e- V
,,Ldyt U Id(I d s ,j
(L'ot, Block, Road, etc.)
on 0 e_ T6 w �Q e. L,-, t2 �in I e-,-J 6 og e- Je AU C It% , 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;'boatliftfboathnusc must beset back a minimum distance of fifteen feet (15') from my a-rea
of riparian access unless waived by me.
I do not wish to waive the setback rt�quirement.
I o wish to waive that setback requirement.
DESCBJYJION A D,'O R DRAWJNNG OF PROPOSED DEVELOPIS MN-r
(To be ftUed in by inairidual proposing development)
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Signature
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ern S d Print or T ape. Name
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Telephone Number
Date:
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ADJACENT RL'ARL� N PROPERTY OWNTE STATEMENT
(FOR A PIERIMOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to
property located at
JT" h k, �)u nLk z; (l 's
(Fame of Property Owner)
IA &- Lh 0 W-_ U I&g- 1 o L. ., �---
(Lot, Bloch; Road, etc.)
on L� ��o c u ;y �-, �4 k �_ , in , �v : l� e vt n� c !�' ✓1./ e ✓t 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/boatliftlboathouse 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 recuirement.
— 11� I do wish to waive that setback requirement.
DFSCR=ON AN-D/OR DR NN-D G OF PROPOSED DENTLOP.N N-T:
(To be filled in by individual proposing development)
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Sign%a e
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Print or/Type Name
Telephone Number
Date: / / 7. ?,I
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AZ DJACEINT RLPARL� N PROPELRTY OWINTER STATE TENI`
(FOR A PIERIMOORLYG PILI,I'GSIBOATLIFTiBO.4THOUSE)
I hereby certify that I own property adjacent to &Af L4 h 6 m N s v n/ 's
/ T e of Property Owner)
property located at oT- �/ o) J e-o W xJ, 6 uc- 14'q k L 6 t2
(Lot, Block, Road, etc.) J
on Ndt ly w r1 c,- L � � -- e , in �{ eu�? T e V'` rti1 Cr�2 A- LJ e— v✓ , 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/boatiift/boathouse must be set back a minimum distance of fifteen feet (15') from my area
of ripari I cess unless waived by me.
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCR.IPTZON A:N-D/OR DRANK D;G OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
S -2 � r4Tt—A-c=t-�-�c-��
Print or Type Name
6,- 5'Y
Telephone Numb
er
Date: ���
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PROPOSED BULKHEAD
4' DEADMAN
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A-1-I")JACENT T LCILAN PRQPR i ir OWNTR STAMM,TNTT
(FOR A PIERAWOORING PILINGSIBOATLIFTiBOATIIOUSE)
I hereby certify that I own property adjacent to VV I
ame of Property Owner)
property located at 91 e6o C- 4P'4 a �e- - 6 (k-Q-` -OW it,
(Lot, Block, Road, etc.)
on C�� T� �, ; �a k , in n1 e w I: o� �s: A-i e PL, 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
pilin-s/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 AIND/OR DRA"A-D G OF PROPOSED DEVELOPMENT:
(To be filled in by indir&ual proposing development)
S e-- A,Ti— A Cl-, <-- I
Sionatu
Prnt or Type Name
0T) 9ry 633 /100 NM-6-3317A 9
Telephone Number
Date: / Z) / / '�z I l 5
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PROPOSED BULKHEAD
4' DEADMAN
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