23168_PROPST, ALLEN_19990804

CAMA AND DREDGE AND FILL �f
GENERAL N? 23168
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
Arlrirpcc
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION I SKETCH
State
Phone Number
Zip
Pier (dock) length
Groin length �� , �.. 067,
number
Bulkhead length rJr ,��,� �r 1:1 c`� c-, r"n= :\ is we 0
max. distance offshore
_
�� ' =X;
Basin, channel dimensions !'
cubic yards
(SCALE: �.�J►J�
l'aiNs��1.Y, -rR;1
Boat ramp dimensions
\
h I \
IOther
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.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
�
i
applicant's signature
permit officer's signature
issuing date expiration date
57 -Ll
attachments '
P� Cad.
application fee

0
T'ay to the
Orderof
A
ss-3ois7n �3128
Date
Quest
1:0S31003001:0047L7S1069SO 03128
VQ (VW
FIRST CITIZENS 472
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l(�� t• �l� priords1, N.C. on
28571
i $ 0
Dollars 8
FLOHENTINE® WDFT
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to {&LOk1 -f A1)6(6 KOPS'T
is property located at `DT #! So-rt(ER,J I/'- C"' MIQIIJS191L
lot, block, road, etc. Pa _. p�
on C��//W 1PjC 1 ru-Z in AICAA, nR/EAJ7-?4 L N.C.SU
(body of water) (town and/or county)
The proposal has been described to me as shown below: the development, a
ier bulkhead/ structure, and the proposed location, and I have no objections
(circ I e one
to the proposal. I understand that if the development is a pier, it must be
set back a minimum distance of 15 feet from my area of riparian access unless
waived by me. I do/ do not wish to waive that setback requirement.
(circle one)
Description and/or drawing of proposed development: ( to be filled in by
individual proposing development.)
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(Original must be retained in the pection Department)
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Siinature
AHES 0 UJ)L),'R OF:
Name (Please Print)
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JUL 26 '99 16:10 FR PMC MFG OPS B645 RAL 919 301 5602 'TO 912522492700 P•02i02
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to T
—� 's property located at ""FA J f/.1, of
on in oti oc road, etc.
MA Pr so&
(body of eater) (town and or county)
The proposal has been described to sae as shown below: the development, a
ie beaZ�head/ structure, and the proposed location, :and I have no objections
(ciz'c�e o e
to the proposal. I understand that if the development is a pier, it must be
set back a minimum distance of 15 feet from my area of riparian access unless
waived by me. Z do/ ono wish to waive that setback requirement.
�491+e*tAt**lr�k***�k**�tkl(circle
one)
�l1l3k+N��kk�4**�*�1**>V'li*****i�li's�tl�;*�tstsMxFie*kt��e�**itiri�tlrr►�*s�.1ir
Description and,/or drawing of proposed development: ( to be filled in by
individual proposing development.)
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lag 74(t
or
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AN�
(Original must be retained in the Inspection ,Department)
tur
.`JV_zr.._n 1N-Hb o t o) p�
Name (Please Print)
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MAiASAI. PT,
JUL 26 '99 15:49 2522492700 PAGE.02
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