21453_VALLECILLE, RAY_19990226

O
CAMA AND DREDGE AND FILL
j; 4253 " �-
GENERAL
PERMIT f3alet-J'Apf
as authorized by the State of North Carolina C4�
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC ; 4 1 „
Applicant Name
Address
City
Project Location (County, SI
Type of Project Activity
Phone Number S s,) % d J` q d -3Q
State 4 Zip ri
Road, Water Body, etc.) �. '� `� _v : '� C i 1 !� r ? • �s 1' f
PROJECT DESCRIPTION SKETCH > /� J` (SCALE:
Pier (dock) length f /'� ��! �•�`^�
Groin length
number
Bulkhead length
61
max. distance offshore
Basin, channel dimensions
cubic yards
! u �
d
Boat ramp dimensions` �! /,,i
1 y
Other � `r -`�
c-
V,\
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
attachments '/"• r/"A
In issuing this permit the State of North Carolina certifies that _
'
this project is consistent with the North Carolina Coastal application fee
~ �' f
Management Program.

REINALDO VALLECILLO, D.D.S. NCDL 837507 4488
CAROL VALLECILLO NCDL 3477288
PH 919-728-5239 66-152/531
1621 LIVE OAK STREET
BEAUFORT, NC 28516 -� 19 C
Pay To The
Order Of b L�- I $
A—
%q'
TACHOM
Wachovla Bank= N.A.
Mo.+md Chy, N(. 28557
Dollars
Memo
1:053 LO l5 291: 546 1 200 2 25ul
N"LAND 1992

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to s
Kamp, of Property Owner)
property located at
%l0 0lfyis
(Lot,
Road, etc.)
on NDrLT/�- ;�)tV&tL- in E14VPolr--7-- , 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.
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be felled in by individual proposing development)
knit-10" "ro Er ! Srl 0G DOC i:_
l�� F1N�Er2 71t2 w/ 30AT L F-r
s�N�cE aiLi�t� sKiFF 6Av Ir Z
0
�/JEErY
naEA pnop
Cv G�ivr�
I am signing this document based on
the fact, according to CAMA rules, that
your dock, pier, and lift cannot occupy
more than 25% of open waterway in front
of your lot, and that your docks will
not interfer with my ingress and egress
by water to my lots 3 & 4.
i
gi'g-frZture
Donald J. Silver
Print or Type Name
[phone] Office 882-4352 Home
Telephone Number
Date: 2/10/99

Sent by: EXCELLO MACHINE TOOLS, INC. 8109390608; 02/11/99 9:01; JetFax #49; Page 1/1
ADJACENT RIPARYAN PROPERTY" OWNER STATEMENT
(FOR A PIER/MOORING PILINGSIBOAmFTIBOATHom)
I hereby certify that I own property adjacent to Ci'hee 4- l�141arEG1(4D 's
(Name of Property Owner)
property located at //D d9kyls 15dZyn&.
( ocBl k, Road, etc.)
on—Mq� in /3E G 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/boattift/boathouse must be set back a minimum distance of fifL3en feet (15') from my area
of riparian access unless waived by me.
I do not wish to waive the setback- requirement.
I so wish to waive that setback requirement.
DESCRWnON AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be fUed in by individwl proposing development)
To EK 1 ST) �J& DOc r_
Srr�.cE 06- 5?<IFF bAV IT-
�RaOERry
4-gip ar F 1 �
Signa re
Print or Type Name
Telephone Number
Date. / q9�

13
—5Pw6,4E Prusu& Ls?m—F D0 V,T—
,g3' qtv DST
•
lq '
�b�
F
3t�yFd�er At a �i�