10906_General Permit_19921029

CAMA AND DREDGE AND FILL
GENERAL
PERMIT 'NTH}
10906
as authorized by the State of North Carolina C ��
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC ^7I - o" o ?,,)nt )
Applicant Name 4.44,
Address 1% IrplZ v N,'d
City. /Vp+-,, Gmoy State /UCH Zip r
Project Location (County, State Road, Water Body, etc.) --�— lec,r a0
Lk;f&�fr J'V - /'r,Pt,VnI ! OAI1n1 'T"/(-, !r^1 .
Type of Project Activity
PROJECT DESCRIPTION I SKETCH
Pier (dock) length
Groin length
number
s �
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
r ' ?< (SCALE:
IUU,PI
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.
NWL-
applicant's signature
per it officer's signature
issuing date expiration date
attachments _ �+ �� �1)o
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
application fee 4 O,00

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property djacent to
property located at Hof l/a illverJIzw
lot, block, road etc.
Cf
on in ar-iev%
body of water town
North Carolina in County. The proposal has been described to me
as shown below; the development,a pierZbulkhead/structure, and the proposed
(circle one
location, and I have no objections to the proposal. I understand that if the
development is a pier, it must be set back a minimum distance of 15 feet from
my area of riparian access unless waived by me. I do do not wish to waive
(circle one)
that setback requirement.
Description and/or drawing of proposed development: Indicate the size and
location of the structure and the distance between each property line and
the water.
3
I eaf
e+�i
(original must be retained in the inspections department)
signature atid date
name please pri t

CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Dear g/-'�
This letter is to notify you as an adjacent riparian lan/downer/lof
Mr. /Firs. Lf��� l�Du�e✓S plans to construct
ul Cl I he L-P his a���k owl ccqA)5�(ucf a 7D ' bt,- klk e,aZ
on their property located at ��evEy/E t�l .fir, SeQ t4 57 0-
v�dlb A) All ��ie�cJ/0— '
in P wL1co NC. The sketch on the reverse
side accurately depicts the proposed construction.
Should you have no objections to this proposal, please check the
statement below, sign and date the blanks below the statement,
and return this letter to: (!OQS�a-% �����VE CDC ✓�����
199 q IbI9917- Lr9N,6� AleU-) de'/V (2
as soon as possible.
Should you have objections to this proposal, please send your
written comments to the NC Division of Coastal Management, P. O.
Box 769, Morehead City, NC 28557. written comments must be
received within ten (10) days of T�eqeiptof this notice.
Failure to respond in either method within ten (10) days will be
interpreted as no objection.
Sincerely,
I have no objection to the project as presently
proposed and hereby waive that right of objection as
provided in General Statute 113-229.
I have objections to the project as presently prop sed
and have enclosed comments. � T
Signatu
DATE:

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