16380_MCDANIEL, ROGER_19960808

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CAMA AND DREDGE AND FILL 0 16 3 8 0_,-
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 C s `i'
Address 99 ���<�z7�"•
Phone Number
City 0s/par State
Project Location (County, State. Road, Water Body, etc.) � ' /0',
76
AA
Az �,- -
zip �W
i" 14,11
Type of Project Activity �s'S
u' �CIIACY et,-,
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PROJECT DESCRIPTION SKETCH (SCALE:
Pier (dock) length
iZ k?V , . /t
Groin length lId 4
Aumber
JA;
a�;� tlo�
B ength
f PSc;c.f%� �• :. � 4 + - 1' _'� LI
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max. distance offshore r �' !! J
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Basin, channel dimensions —
cubic yards G —�
Boat ramp dimensions f- ,
Other °'mot 6 4k
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This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any �r ,mow < f
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. ''^
J lPa �4 !I
This permit must be on the project site and accessible to the permit officer's signature
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 issuing date expiration date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no 6 �11 ��y� r s176t"
objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that , J
this project is consistent with the North Carolina Coastal application fee ���
Management Program,
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1664
BROAD CREEK CONSTRUCTION INC. 6195 66-301531
112 Creekview St Ph 919-249-0523
Merritt, NC 28556 C/ P)
PAY 10.11 W. NU)Cll n/- - /l /,\ UOL=-ARS � o o :��+—k.
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onS-A 1003001:47 110 2 26741i'
OHARLAND
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SIGNET

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
I hereby certify that•I own property adjacent to
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cc. JJ 3 f K) 's property
Name Rq S' L oo P Dr
located at 1-CTb q n, Lb nqq—S UQ, on
Lot, Bock, Road, etc.)
C ry in m LI C- d N.C.
(Water Body) (Town and/o 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 fifteen feet (151) 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)
O p
v
Name
Phone Number
J

Y
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
I hereby certify that•I own property adjacent to
CZ-y1 I itj 's property
Name
C/q vaelrn ,
located at '
(Lot, Block, Road, etc.)
6A,�If— in -PC3AAA ��� e� 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 fifteen feet (151) 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)
P, —
Signatur
r-.
Name
Phone Number