18676_TINGLEY, HENRY AND JUDY_19980709

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CAMA AND R GE AND FILL f
GENERAL` _
N10 018676-3,
PERM
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 NCCAAC
Applicant Name - hKe Number '
Address----1''-J(L2 1-13
City f` 0 A r : �c.:;�; -�� 1 State k- L
Pro ect Location (County, State Road, Water Body, etc.)
Zip
lie -
Type of Project Activity i-f`? `� 1 �" r r y i
77
PROJECT DESCRIPTION
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
SKETCH
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s r°t .... _ . _
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cubic yards
Boat ramp dimensions -
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Oth r'A , t
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4
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(SCALE: rr )
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This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any
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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
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permit officer's signature
permit officer when the project is inspected for compliance./!
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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
f expirlation date
d- d 2
or finances, an ) a written statement has been Obtained rom
adjacent riparian landowners certifying that they have no n I✓,✓1 f+ �w r1
attachments
objections to the proposed work-
In issuing this permit the State of North Carolina certifies that u'
this project is consistent with the North Carolina Coastal a
i application fee
Management Program.

I hereby certify that I own property adjacent to �� r ,` P is
(N e of Property e
property located at
(Lot, BIock, Road, etc.)
one �, ��C' , in
N.C.
(Waterbody) (Town an or ounty)
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 DEVELOPNMNTT
(To be filled in by individual proposing development)
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�Xi�-tr�n
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--------
Signature
Print or T Name
� -xz f �>�7
Telephone Numbe y
Date: /

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSIMAYLIFTIBOATHOUSE)
kt I hereby certify that I own property adjacent to �i.1 r f �GL's
(Na*of Property e
property located at �} v �iy- ,
j (Lot, Block, Road, etc.)
one �� T c�� , in �,c,k?2�Q� - �-z�
N.C.
(Waterbody) (Town and/or ty)
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.
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED
z3-99
Print of Type Name
Telephone Number
Date: [,

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AUC-04-99 09:36 AM CHARLES.MAXWELL.DDS 910 424 5893 P.01
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