11762_CAMP DON LEE_19930330

CAMA AND DREDGE AND FILL
GENERAL ( 41? 11762
70)PERMIT 9 p
as authorized by the State of North Carolina (0/
Department of Environment, Health, and Natural Resources and t astal Resources Commission
in an area of environmental concern pursuant to 15 NCAC
Applicant Name � N ! E Phone Number
Address
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION SKETCH Z: / S
Pier (dock) length
Groin length —
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
r
State 4
Z P ---
Zip
(SCALE:
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'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
objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that U
1_.
this project is consistent with the North Carolina Coastal application fee.
Management Program.

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MAP 04 '93 09:39 3,ITEWOR4<:'_
SITEWORKS DESIGN GROUP, P.A.
P.U. Box 3988
WILMINGTON, NORTH CAROLINA 28406
[phone]
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CALCULATED BY DATE .7,h,h
CHECKED BY T DATE
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CAMP DON -LEE
NC CONFERENCE
THE UNITED METHODIST CHURCH
ARAPAHOE, NC 28510
2182
66-30/531
I - 3- 23 N 9
ref z I $ So , 0 U
n
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FIRST CITIZENS BANK
First -Citizens Bank & Trust Company 473
Arapahoe, N.C. 28510
►� pc - ll'7l;2
1180000 2 1$ 2iim 1:0 5 3 100 3001:4 7 1 200 4 ?III
JI

`Dono'Lee Center
Rev. John A. Farmer, CCD
I Director
Rt. 65, Box 80-A
Arapahoe, NC 28510
919,249-1106 or 1.800-535-5475
Fax [phone]
MAR 3 0 19%

ADJACENT RIPARIAN LANDOWNERS STATEMENT
General Statute 113-229 requires that riparian landowners
with property adjoining a proposed excavation and/or fill project
be given thirty (30) days in which to comment on the project.
This form allows the adjacent riparian landowner to express
either: (1) That he objects to the project; or, (2) That he does
not object and desires to waive his right to the 30-day period so
that the processing of the application can progress more rapidly.
Of course, the adjacent riparian landowner need not sign this
form at all if he so chooses.
I, �0w L&-A 3✓ am an adjacent
riparian -property owner and have seen a copy of the application
submitted by _D ryt dated
2 : 19_U, wherein said applicant requests a
permit to excavate, fill, or otherwise alter the land or water
adjacent to my property.
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 proposed
and comments are attached.
0'. , - Z"
Signature of Add t
Riparian Landown r
DATE: 5 1,7
FORWARD COMMENTS TO:
Division of Coastal Management
P. O. Box 27687
Raleigh, NC 27611
1 �I MAR 3 0 1993 e,. E

ADJACENT RIPARIAN LANDOWNERS STATEMENT
General Statute 113-229 requires that riparian landowners
with property adjoining a proposed excavation and/or fill project
be given thirty (30) days in which to comment on the project.
This form allows the adjacent riparian landowner to express
either: (1) That he objects to the project; or, (2) That he does
not object and desires to waive his right to the 30-day period so
that the processing of the application can progress more rapidly.
Of course, the adjacent riparian landowner need not sign this
form at all if he so chooses.
I for Camp Sea Gull
riparian -property owner and have seen a copy of
am an adjacent
the application
submitted by Jon Farmer , dated
3/3/93 , 19 wherein said applicant requests a
permit to excavate, fill, or otherwise alter the land or water
adjacent to my property.
y 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 proposed
and comments are attached.
FORWARD COMMENTS TO:
Division of Coastal Management
P. O. Box 27687
Raleigh, NC 27611
ig atur Adjacent
Riparian Landowner
DATE: 03/26/93
Qr�1 I
`Tr
MR� 3 01993
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