15913_MORGAN, RICHARD_19951221

CAMA AND DREDGE AND FILL
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 ` ►
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Applicant Name 7 11 �' '"
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Phone Number
Address
City
7
State ( Zip
Project Location(�County,
State Road, Water Body, et,--,
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T pe of Project Activity
PROJECT DESCRIPTION SKETCH r ✓ P 7A (SCALE:
Pier (dock) length �.
Groin length /
numbed
Bulkhead lengtht
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions r
L r 7e r t"", Y, r
Other p
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.
attachments
applicant's signature
Y.
permit officer's signature
issuing date expiration date
In issuing this permit the State of North Carolina certifies that �.,��c,;
this project is consistent with the North Carolina Coastal application fee 4 3
Management Program.
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UNI'1'h:D S'1�1'1'L POSTAL `I(lla' t�lll)lal '�O
63209824894 911 ' _; ;' `?
POST OFFICE U. S. DOLARS AND CENTS
SERIAL NUMBER - YEAR, MONTH DAY - �' q�L
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CHECKWRITER PAY TO -
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ADDRESS 20 '%/_
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630098 241394
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FROM FOLE` FriLE', INC. Tii r.','II
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ADJACENT R•IPARLAN PROPERTY OV4WER STAT IENTT
(FOR A PIMMOORING PILINGSIROATLIFTIBOATHOUSE)
I hereby certify that I own property adjacent to
(Name of Prof y Owner`
praperty located at-J O-Z_
(Lot, Block, Road, etc.)
on in
aterbady) awn and/or Couuty)
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
pilingsfboatlift/boathouse must be setback a minimum distance of fifteen feet {l5') fram my area
of riparian access unless waived by me.
I dQ not wish to waive the setback requirement.
I &Q wish W waive that setback requirement.
DFSCRIF''TION A.NL D/OR DRAv4T'G OF PROPOSED DEVEWPIM F-N-T:
,To be,ftlled in by indiiPtiduai proposing development)
A
J-4
Carmen Weisser
Print or Type Name
-- 63 3-4a*�Q
Telephone Number
IS.
Date:

3
)JACENT RLPARUN PI QP ART Y i INER STATEMENT
(FOR A PIERAVOORING PILINGSIB OA TLIFTIBOA THO USE)
I hereby certify that I own property adjacent to J'V.%,� u/� r ,�,�„` 's
(Name of Pry Owner)
property located at
(Lot, Block, Road, etc.)
4112
on AE,r `q ..., , in �%�s ��v, 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 access unless waived by me.
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION A.\`D/OR DRAIA'D\G OF PROPOSED DEVELOPIM\'T:
(To be filled in by indiizdual proposing development)
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Sib a re
Print or Type Name
"IfTlephone Number
Date: y

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