HomeMy WebLinkAbout21164_STRICKLAND, JERRY_19990125O
CAMA AND DREDGE AND FILL l`: Q116 _ c
GENERAL _
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 15A NCAC
Applicant Name
Address
City State
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
Phone Number
Zip
PROJECT DESCRIPTION SKETCH Nc-L-C (SCALE: ►.tiNc?. )
Pier (dock) length NCT_S.Z' LJCt3 �C, (�rivjv 1�-7iti
Groin length
number
Bulkhead length CGNU 01L.1E P" i�jtilC�W��L �-?�r 'yid•
i-'
max. distance offshore
Basin, channel dimensions \
r 1 ? 16
cubic yards
Boat ramp dimensions
Other
"321
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 expiration date
O� I ` . \"7D0
attachments
In issuing this permit the State of North Carolina certifies that -i (.Yo c,4i K)j h3�
this project is consistent with the North Carolina Coastal application fee
Management Program.
531
HODGES MARINE CONSTRUCTION ss 3oi4 z 884
NCDL 1999167 PH 252-745-7018
55 BAYSHORE RD
MERRfTT, NC 28556 Date
Pay to the
Order of.
FIRST CITIZENS <,z
BANK Ortant�I,�N.C. 2B57d Tr t Company
For------
i:0 5 3 L00 3001:00 4? L 2008 3 48ii' 0088 4
oao.w•nmeaa�
$ �S3 a
Dollars 8�
,Atter this form iS completed by the 1an,,,-wnei p►o, . .,nv the project,
a +ropy is Even to his{heL- .Idj3Lt-nt ian,iowaers tux Ci]P.i] tunsent and
signatures. the forma are -hi-it ret ,tr,ft;, .110119 wit-h Q Luilding plan
and other applicable required informati,,p. ;fie Nus l<i���F. Inspections'
Uffice fir huildinK permit apF ii-at;:�r�ipr.cessr'ng. i
in/nf
ADJACEN R1PARlAN Y:� lr'F.r.i'� OWFN. JF' : TATEMEN, LPNQ
I heret . ._4r r : ty t' a' i own; pt operty ad, jacent L<,
landowner -� proposing de4elopaecit body c,f
I.a t rst!5e—r- z o t _ /./ If
cooaunity Subdivisicx;, if appllc
7=os'Z-
Tax Parcel 0_ off �JR //q3� Complete dt • Pt ',n
locate thi c roperty:
The propo _project, a BOAT odsr 4, and the location has been
' hed to •e as shown in tt.e draw;;rrg below and i "vt r,o ' actions
proposal. '
FM A PIER, ;:HECK .%hF. UF THE F'CLLOWIh(;:
1 wish to waive the 15' m).cristua *hark froso my riparian,
-. i DO NOT wish to waive the 15 - minim ac-k eql) i • sent
*••fRtfRRRRRRRRR##tRR#RRR#RRRR#4RRRtt#pRt•,,.!►AlfOltftAtltAA�#RttRAAAR#
Draw the proposed structure in the space provided below. List the size
>f the structure and measured distances from the adjacent property
lines. other structures on the property, and the road water, etc.
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k(ILOING IN'aPt �-1I0N.,,
(After thi-, form is , omp; �,y the landowner proposinE, the project,
a copy is given tr> his/tie ,pnt landcwaers for their consent and
signatures. The forms are -turned, along with a Lui',:.;g plan
and otter applicable requi: mati.on, to the Huilding .cispections
Office for building permit tonlpi-wessing.)
ADJACENT RIPARIAN PROPERTY OWI► �r ?ATEMI EPN#
I hereby ce.rtit r._)perty adjacent to
J s eX-y u/. s 7-RV42,r<�/-0q-M-' ' s ..n !�? -
of landowner proposing development body of Water
in/near — _ _ iot_t►p3Jt Of L/L z� BUT �.e_
comour Ity Subdivision, if applic:able
7-osZ Z DS.�, Z
Tax. Parcel d� o.; �R //Q3 Complete description of a. ,,
locate this prcpe ty:FiesT1.o j- o TAWS - "ic _S
"posed project, a RPAZ: �cJS�, and the location has been
t:ki me as shown in the drawing below and I have no objection&
.)posal. ,
F& A'PIER: CHECK ONE OF THE FOLLOWING:
sh to waive the 15' minimum setback from my riparian access.
'SOT wish to waive the 15' minimum setback requirement.
••�AiAt•4tf*tf��tf*tirifRA••••A♦ff��Atf►tA}�AtR�'fRfAwf#Rfftf�t!
t yr>poser structure in the space provided below. List the size
the 6tructure and oeasured distances from the adjacent property
other structures on the property, and the road, water, etc..
1 01 �f��, =,� //���ys z� o.��lert -
�
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