23142_TOPALSKI, JOSEPH_19990910

CAMA AND DREDGE AND FILL
GENERAL °? 23142--1'
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
Project Location (County, State Road, Water Body, etc.) -
Type of Project Activity
PROJECT DESCRIPTION
Pier (dock) length
Groin length
SKETCH
State
number
Bulkhead length { t _ *•.
max. distance offshore A
Basin, channel dimensions .
cubic yards
Boat ramp dimensions
Other
Phone Number
Zip
(SCALE:
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, applicant's signature
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.
permit officer's signature
issuing date expiration date
attachments
application fee

HOLLAND TOPOLSKI
,P%7OLSKI —�,� �3j � 2618
P.�O X 2081 93iF3L�50 c2� 2 66-19/530 NE
SWANSBORO, NC 28584 Date // ((// // e2
Pay to the 0,0
Order of ��i
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Dollars M ' r
Hatt s nk Advantage
NationsBank, N.A.
For Ael-A
�:053000 196�: 0006S 1SSS65 i2 18
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Name Of Individual Apply4 For Permit: ✓ s / '_00
Address Of Property: /33 ��mocJ d f
(L.ot or Stroct #, Streat or Toad, City & Counry)
1 hereby certify that I own property adjacent to the above-mfereneed property. The individual
applying for this permit has described to`We as shown on the attacbed drawing the development
,-hey are proposing, A. description or drawing, with dimemions, should be provided with, this
letter.
41 I have no objections to this prep W..
�. .. • r _ . .. .. r ..� .. . ,MW.. .� .. v r.
.45. •. 1.. 1. � • . ♦ • . ,yam. H. . ... . h- .�.. 'b ,• - • •.il f. 7 • ..
1 uzerstand that a pier, dock, mooring pilings, breakwater, boat house, M or sandbags must be
set back a mir� disc= of 115' from my am of riparian arrest amless waived by me. (If you
wish to waive the setb;71
u nu:si initial the appropriam blank below.}
do wish to waive tba 15' setback requirement.
I tin not wish to aiuve the IS' setback requirement.
Print Name
��'elaphone Numbsyr With Area Code
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ENV1R0..MefR JW� NAFLMA.L ft&OWRO"

'419-1-:4 Plim J,(v 1-451 -.4161011W 3racreltal a 1W.Wevoll'". &I I TTIPT-1
Name Of Individual Applying Feu Pamit:
Address Of Properly: ` 33 ��/" C'•A�G
(Lot or Stroat ­e Suwt or Road, Cite & County)
i hereby certify that I own property adjacent to the above referenced Property. The individual
applying for this permit has described to"ite as shown on the attacbed drawing the development
they &re proposing. A, dC'.9L°ription or drawing, with dimensions, should be, provided with Wis
letter.
—X— I have no objccuons to this propomd.
I I V 0111 11 Em
-lot AM
f • r •' ��. aka .a • . � • .. .
- ..
r s: oJasumd that a pier, dealt, mooring pilings, breakwa►e. , boat house, IM or =dbap must be
sei back a minimum dista= of :5' frmn my area of riparia.'o acc m unless waived by me. (If you
wish to waive the setback, you rmx initial the appropria.tz hunk btiow.)
_ 1 dd wish to waive the 15 ` setback requirenymt.
_ I do not wish to waive the 15' setback requirerneat.tp
5l natldrt is Date
a
,�,' S L 44 '' a .�..
Print Name
_ S 406 is NCDENR
'relephcne ;^;u:nb-r With .A.rxa Code - -- "O*+*• c•qe4Jn, otr%XT.OL*++ or
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