22202_JONES, RAYMOND_19990506

CAMA AND DREDGE AND FILL
GENERAL NO 22202
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 ` ` -r f"i,, "J,
Address - 13 Pe,)n Z - e ✓
City i) 4/ o 3^ I f
Project Location (( ounty, State Road, Water Body, etc.) _
Type of Project Activity 'r 1 a+ 1 f 1
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Phone Number—
State-' zip f ?
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PROJECT DESCRIPTION SKETCH (SCALE: )
Pier (dock) length
43..+�„ f
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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40 C4 cj
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.
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applicant's signature
L permit officer's signature
issuing date expiration date
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.

W. RAYMOND JONES NCDL 547676 03-90
LO PRAINE F. OND DR PH�72O6- ES NCDL 547809
ATLANTIC BEACH, NC 28512 ( 19
aCl-riZENS
C13 yAtlantic Beach. NC 28512
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66-301531

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I heref;)-o certify that I own property adjacent to
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's property
located at � �6 � . on
&6- �� Say � (Lot, Block, Road, etc.) /f/
Cce5 C4k' VI�if in /�A/✓�/C ��)lrc f,- , N.C.
(Water Body) (Town and/or County)
He has described to me as indicated below the development
he is proposing at that location and I have no objections
to his proposal. I understand that a pier, pilings and
dredging must be set back a minumum distance of fifteen feet
(15') from my area of riparian access unless waived by me.
Date
I do not wish to waive that setback requirement.
I do wish to waive that setback requirement.
Description and/or drawing of proposed development:
(To be filled in by individual proposing development.)
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tur Name
L�/vo
Phone Number

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
GfM xl,0 is property
I
located at _/�cs�/%� �/�/U� on
(^^zqUL- S'00go (Lot, Block, Road, etc.)
/rt C'C'-C^�S (?'+q 7�/�iLl� in _141LAd 77 C SL'C,F4ek-� , N.C.
(Water Body) (Town and/or County)
He has described to me as indicated below the development
he is proposing at that location and I have no objections
to his proposal. I understand that a pier, pilings and
dredging must be set back a minumum distance of fifteen feet
(15') from my area of riparian access unless waived by me.
I do not wish to waive that setback requirement.
I do wish to waive that setback requirement.
Description and/or drawing of proposed development:
(To be filled in by individual proposing development.)
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1911-/1p- 99
Date
Signature
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Print Name
2/-q- Y7�q- i sa
Phone Number

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