21506_TOPALSKI, JOSEPH_19990406

CAMA AND DREDGE AND FILL „,
GENERAL �J`6
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 Phone Number
Address
City State Zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION SKETCH
Pier (dock) length
Groin length
number
Bulkhead length
•.r
max. distance offshore
f'
rl '
Basin, channel dimensions
i-
cubic yards
Boat ramp dimensions
Other
"V
(SCALE: i; ) I
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- -_ 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
Management Program.

HOLLAND TOPOLSKI
JJO�SEPH TO 0BOX 2081 2SKSKL
SWANSBORO, NC 28584
Pay to the
Order o _
2185
Date 66-I9/530 NC
62
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Dollars
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I:O 5 3000 L 9 61: 000 6 5 L 5ZI�Si' 2 18 5 ' L
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—ARDIA SAFETY BLUE DRDBL

MHR.31.1999 4:34PM MCDEMR WIRO rJO.304 P.S
I1LVL�Y�N QF1'()aCTdT x�TA��
Name Of Individual Applying For Pcrmit_
Address Qf Property;'�;
(Lot or Street #, Street or Road, City & County)
I hereby certify that I own property adjacent to the above -referenced property,
aPPIY49 for this permit has described to n' a as shown on the attached p w ng individual
they are propos• A description or draw' drawing the development
Letter. , with dimensions, shOuld btf provided with this
I have no objections to this proposal,
klm-la"A •
I understand that a pier, dock, mooring pilings, brcal-wam, boast house lift or sandbags must be
"'-t back a Mmimum distance of 15' from my area of
wish to waive the setbarPz� �`� unless Waived by me_ (If you
You M= initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I dn—t wish to waive the 15' setback requireme=
sure bate /A&
•
Print N=e _
Telephone Ntmlbar W" - RC6ENR
With Arm Code Nam+ GA.Rvuw, t+,Rr, cF
FWRONMEHT AND N.4UNAl Itj=Ljq=g

Mi;R.31.1999 4:34PM NCDEHR WIRO M(D.3©4 P.5
r%xx?jSMg No
y __
Name Of Individual Applying For Permit: S
Address Of Property: 9. 21 �4J.,. o of 1/1
(Lot or Street ; Street or Road, City & County) —
I hereby certify that I own property adjacent to the above -referenced m
ual
aPFlYing for this permit has described to 1Ie as shown on the ,attached drawing the deve orpment
they are proposing. A description or drawing, with dimensions, should be provided with this
15mr_
I have no objections to this proposal..
W W O'LWIN= 111THFUMMMNOM
I understand that a pier, dock, mooring pilings, breal w-dter, boat louse, lift or sandbags must be
set back a distance of 15' from my area of riparian == unless waivtd by me- (If you
wish to waive the setbacc, You must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I dnnot wish to waive the 15' setback requirement
Signature Date,
Print None
3 % I'J S—
.1clephone Number With Area Code
fr
2
NCDENR
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Location: Ci Field Pep'. s
T�
Phone: nOL6 - ���� Date of Report:
Description of Project: Acy IJS <u
Date Project Peportedly Compete:
(1) " Do the ne3sured dimensions of the devE]J.Ent differ from those
indicated in the perrai t .and workp t?, Ye= / No HavE all perm; t
conditions been satisfied? Yes //Wd
2) Ec=_'enL-:=tI( c?iC Erosion OI1 COI'itrdl: Ea5 rerm,it=cE sc=dE' C a5_c
Gj CL�Erw1se sta�i l i Ze,4 all di stllrhef arc=5: YES NO (�q �r
I
(3) Fut__ e Mcnitorinc and Z,nforce•:ie. -c- -O Is T fL'r` er i r v estlQaticn
or En-FOrcEz,cnt action needed? Ye / Na
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