10977_General Permit_19930112

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Applicant Name _
Address
City
Project Location
of Project
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CAMA AND DREDGE AND FILL C�
GENERAL
PERMIT �T�, 10977
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 15 NCAC
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PROJECT DESCRIPTION
Pier (dock) length 1 U A 'X t/
SKETCH 4I- /- T/), i S
number
Bulkhead length
-7l% "
max. distance offshore
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Basin channel dimensions.
cubic yards
Boat ramp dimensions
Other C�)
Z7 4"
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.
State
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/ applicant's signature
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permit officer's signature
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issuing date expiration date
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attachments %r✓c/�j ��r�i � t � � � ,")i `I / 5 P, (�
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee 'g-(? r��
Management Program.

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N.- KINSTON AVENUE 40' R/W ' PUBL I C
REFERENCE BEARING
N 81' 36' 00" W 8 9134' 01" E 330.03' TOT.
EIP 90.00' FIR 90.00, SIP 24 •03' EIP
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N. KINS TON A VENUE 40RI W PURL C
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REFERENCE BEARING
N 81' 36' 00" W S 81' 34' Ol" E 330.03' TOT.
E/P 90.00' EIR 90.00' SIP 24 .03' E1P
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
I hereby certify that I own property adjacent to
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Name
located at
's property
N's 11 Ala , on
(Lot, Block, Road, etc.)
cAnl,44- in 4T1- AA67,!--, 30qG// 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)
S E A rrA�t1 �, "C-X /sTic% �,�,✓
Pi�oPDs� se-RH/A�.L
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Signatur'Name
22 6 - Jo 7-6-
Phone Number

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
I hereby certify that I own property adjacent to
A , t / -
's property
Name
r�T}{ ��i�clsrn�//4✓tee.
located at 457-
(Lot, Block, Road, etc.
, on
4�Vi4� in X r44,0-� OEAe-W 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 DEVELOPKENT)
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Phone Numbe'Z��