10197_Philip Skip Kemp_19921231

CAMA AND DREDGE AND FILL �.
GENERAL
PERMIT - 0 10917
as authorized by
the State of North Carolina (�
Department of Environment, Health, and Natural Resources and the Coa rces Commission
in an area of environmental concern pursuant to 15 NCAC 20(- 1 �� sout � 0 0
Applicant Name
Address,
City &0 r4�
Project Location (County, Mate Road, Wa
Type of Project Activity
KL
Bod , etc.) _
Phone Number , t 1 �/ y
State / Zip
1/
PROJECT DESCRIPTION SKETCH fit/ / 7— (SCALE: )
Pier_(, ock) lengto W � L�(�{� �'T R U�_ P
Groin length. ('. vhd� cr
number Ey + j4,.
Bulkhead length S t
max, distance offshore r 3
Basin, channel dimensions S.r ±"
cubic yards U A,rz�,
Boat ramp dimensions , v 1 —
L4- i
Other
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.
applicant's signature
permit officer's signature
issuing date rexpiration date
attachments �CX o
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee U U py
Management Program.

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER)
I hereby certify that I own property adjacent toT S, L�i°D�r ,s
property located at 3 S korc ,D► w-e—
1 (lot, block, road, etc.) / L
on _ ��°cv por l JZ1�21� inN.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 15 feet from my area of riparian access unless waived by me.
I do do not wish to waive that setback requirement.
(circle one
Description and/or drawing of proposed development: (to be filled in by individual
proposing development)
S
Signat
Name
7)'(� /^31
Phone Number

r
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER)
I hereby certify that I own property adjacent to kl IQS. [S�eaiO d ✓ 's
property located at 3 S�tor� �►�tJ ���r- tie,I�Ll7S
A' (lot, block, road, etc.) / /' /-
on rUe,UJQD -� 12IVCV- in {�/l0y'P,�t C,iT , N.C.
(water body) (town and/or count )
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 15 feet from my area of riparian access unless waived by me.
II
I do d no wish to waive that setback requirement.
(circle one)
I
]description and/or drawing of proposed development: (to be filled in by individual
proposing development)
Signature
H r-- L
Name
Phone Number

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I
L. I � i0 -S -Zwt P �JJ
(Mame of Prol3erty Owner
own property adjacent to
's property located at
I3l S � ov-e- brtu2 , PvQ* ey-- Hel h%S
'r 1 (Lot, Block, Roa , etc.)
on /y P�c.�J p0 r 1 12y , in V14-6 r" e� i
(Wat rbody) (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.
N.C.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development) r
n`
01 r 1` A rQ- 10
Sig ure
Print or Type Name
Telephone Number

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
l ( ( ,2 S k�-e Gy ,D J-f ' s property located at
(Naifte of Propert Owner)
r[u e
(Lot, Bloc
, moaa, etc_
on e-e-J0K-�— ieuc�— in YU-ak-eWe� ZN.C.
(Wat rbody) (Town and/or Countyl
He has described to me, as shown below, the development he is
proposing at that location, and, I have no objections to his
proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
22 (To befilledfilled in by individual proposing development) J
V i
rap
66
Signature o
�1r_- ki'N ! NU'C-�f-
Print or Type Name
Telephone Number

V-.
4. .�
-15,
317