21421_STEEN, WALTER_19990219

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C A AND DREDGE AND FILL NV 02,� 42i -el'GENERAL
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PERMIT
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as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Reso rces Commission
in an area of environmental concern pursuant to 15A NCAC
Applicant Name 5�9 '" Phone Number
Address /' �� 9 i ' �>
City 4�3lP 'G; 4
Project Location (County, State Road, Water Body, etc.)
type of Project Activity
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—State ''�'' zip 2 74/
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PROJECT DESCRIPTION
SKETCH
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Pier (dock) length
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number
Bulkhead length
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max. distance offshore
Basin, channel dimensions
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cubic yards
Boat ramp dimensions
Other
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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.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
I
attachments !" � / A Id 0
-4 t�- r application fee 0 U -Z' - O" !,-Y— 1

WTI TFR R CTF_€N LIC. 3631375
NATALIE STEEN LIC. 3631375
SPECIAL ACCOUNT
7100 MANOR OAKS DR. 9197900472
RALEIGH, NC 27615
ss�s^27 2199
531
422276012
Date
Pay
Order of /—j v
Cenr Trust
Company
tla Bank
CCB and Trust Company 427
eigh North Carolina 27609
For 4�
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F E E - 9- 9 3 T U E 1 1: 55 T O W N O F A T L A N T I C ]BE A C H P_ 0 2
ADJACENT RIPARIAN PROPERTY OWNER STATII�4.N'r
(FOR A PIER)
I hereby certify that I own property adjacent to
,. /,.. w,�T��/C i`c �,�' 's property
ame
located at
(Water Body)
. on
Lot, Block, Road, etc.)
in 7",C P 4,li% (/ C 4 , N . C .
(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 (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 DEVELOPPMNT)
Signature
Name
Phone Number

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to WWrt7L4,&41 72�oL/5' s'jE,P/'s
(Name of Property Owner)
property located at /� S'b(,�,v p OZ . ,
(Lot, Block, Road, etc.)
on in l�r,� &ZL Gf l'. ��� N.C.
(Waterbody) (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/mooring
pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
L" I do not wish to waive the setback requirement.
DJ
i
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
Signature
Print or Type Name
; r,(-- 3 �i ?
Telephone Number
Date: 2%14-— T Y

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