11777_GRISWOLD, HELEN_19930401

CAMA AND DREDGE AND FILL
GENERAL
PERMIT
Applicant Name. �C_ / C. � e -- / �' / / I /
Address
City
Project Location (Count
Type of Project Activity
State Road, Water Body, etc.)
PROJECT DESCRIPTION
Pier (dock) length
Groin length
number f I �
s-
Bulkhead length ` n,'(' f
ax. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
State
metal Resources Commission
Phone
'Number
Zip --
r
SKETCH (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 tii'e
permit officer when the project is inspected for compliance.
applicant certifies by signing this permit that 1) this pro-
fs consistent with the local land use plan and all local
o finances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
objections to the proposed work.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
,� / applicant's signature
permit officer's signature
' is ing date expiration date
attachments
application fee

~
4DDOLLARS
First -Citizens Bank & Trust Company 132
P-Q-llj�j
FOR

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
I hereby certify that -I own property adjacent to
k, v- i .SC��o LIs property
Name
��
s,
located at ':�� c __ _ on
('Lot, Bloc Road, etc.)
in ccf";ahy N.C.
( ter 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.
—V-1 - 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)
irf
MAN 2 9 1993
e
Name
?)g- 5-;a-
Phone Number

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
I hereby certify thatI own property adjacent to
/cam = � /� i S Ij_I r /C/Is property
Name
located at
,cl . , Lc -f-# /zq -//, b b �:
Lot, Block, Road, etc.
on
W60, 12 e S P', ;�/ in aCL t-Terc1`" Cye �� �� 1� N. C.
(+Water Body) (Town and/or Cou ty)
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 (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)
rl�M�
MAR 2 9 1993
j,
Signature-----
! a , lC4_ s l�e/I r.1i10ln
Name
Phone Number

GENERAL PERMIT APPLICATION INFORMATION
APPLICANT'S NAME: f l e/ e-
(First) (Middle) (Last)
AWgG ADDRESS: A I ,-E�,,y ,
(PERMANENT) n
/1 Uri /,i r L STATE ' ,�` ZIP SRO
TELEPHONE: WORK ( ) HOME ( ) 22l - 6 A Zooj
CONTRACTOR'S NAME: 6 a ✓1) V TELEPHONE NUMBER
PROJECT LOCATION: N.C. Hwy. �� _ SR # Road/Street Name
Waterway Name �, �� S �� �, n County 0 n ! -j eY- C7 '
Town 10 V�- Subdivision Lill hhs
PROJECT ACTIVITIES:
PIE/e Total dimensions of pier from MHW to platform X
(Length) (Width)
'T' or 'L'-head platform
(Length) (Width) (Number of Mooring Piles)
Water depth at end of pier
VHOUSE Length
Number of Piles
BULKHEAD: 1/1 Total length
Average distance waterward MHW
Maximum distance waterward MHW
#2 Total length
Average distance waterward MHW
Maximum distance waterward MHW
nRIPRAP..-otal length
EXCAVATION: [MAINTENANCE 'ONLY']
Length
Width
Adjusted water depth on MLW
Number of Mooring piles
Width
Water Depth
Base width from MHW ;,Z7 1
Depth of Cut
Existing water depth(s)
Estimated Cubic Yards (length x width x depth/27)
• Type of spoil: Sand Mud
Dragline Backhoe
OTHER STRUCTURES:
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