11759_IRWIN, ROBERT_19930308

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CAMA AND DREDGE AND FILL
GENERAL 1-1759
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 15 NCAC
Applicant Name Ph-P NI,mhPY
Address �% o I`> <__ �. 11 C 'T
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION
Pier (dock) length .
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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State Zip _76
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This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any �fd lam'
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. _
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
this project is consistent with the North Carolina Coastal application fee cJ
Management Program.

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;kDJACENT RIPARIAN PROPERTY Oh'NER STA
( FOR A FI ER) J-A e
I hereb certify t at -I own property adjacent to
Name 's property
located at �jf p�/�J
(Lot, Block, Road, 'etc.). . on
o �, in
(Water Body) -`--1 , N.C.
(Town and/or County)
iie 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: (gyp BE
PILLED IN BY6INDWIDVAL PROPOSING DEVELopy..EKT)
L
ature
Name
Phone Number

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