14844_NOBLES, VIVIAN_19951010

CAMA AND DREDGE AND FILL T -,
/""f
GENERAL 14�44
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 C.: 14 lfepo
Applicant Name �' "•° r ran% r r� �� �u Phone Number �? 1 e �d y
Address % C. /:-5
City .Tr/da'_.,
Project Location (County, /State Road, Water Body, etc.)
Type of Project Activity
_ State /Uc Zip P 9-( e 2
PROJECT DESCRIPTION SKETCH (SCALE:
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
i
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- applicant's signature
come null and void.
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. ,l f
The applicant certifies by signing this permit that 1) this pro- l / 0r'�f �C! Yam•
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 ©7l f�jp
objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that to
this project is consistent with the North Carolina Coastal application fee WQ
Management Program.

VIVIAN H. NOBLES
PAUL NOBLES, SR. ss-71sz
LIC. 888145 2531 3 316
501 FOREST ACRES DR. 823-2645 2401504187
TARBORO, N.C. 27886 , PC -
DOLLARS
�/ ! U
J PAY TO THE /
o ORDER OF �/
DOLLARS
TARBORO SAVINGS BANK)) SSB
501 MAIN ST- TARSORO.NC. 27666
1: 2 5 3 1 7 15 2 41: 2 40 1so 4 18 IL -- -- -- - - -- -- - - -- - ---- - -
3316 �

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
(; l U 1.4ki t\ 0«LES' is property
located at _/DS D-4Uon
(Lot, Block, Road, etc.)
Soy w 4ec6-s5 C'Llr4AI6&in _ A1L-4WTYC- 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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Signature
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Print Name
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Phone Number

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
IUIXQ 1\f06(—ES'
's property
located at _/Og <T).4 U fs' /9 L U 0 . , on
(Lot, Block, Road, etc.)
�U�ovc'
S o d��D <{ e ESQ �'! �cl, lr✓t'L i n _ A!% lf'%-/ c- 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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Phone Number