22302_HARDESTY, JOHN_19990430

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CAMA AND DREDGE AND FILL
GENERAL NV 22302-- C_
PERMIT 5
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
Citv
Project Location (County, State Road, Water Body, etc.
f .
Type of Project Activity
State Zip
41
PROJECT DESCRIPTION SKETCH ;;C i f: (SCALE:
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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'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.

JOHN M HARDESTY NC 2973425
RACHEL HARDESTY NC 192860
114 HAWTHORNE DR PH 252-726-0050
PINE KNOLL SHORES, NC 28512
PAY TO THE D ��
ORDER OF
Wachovia Bank. N.A.
Morehead City, NC 28557
5173
IG/�(]� 66-152/531
DATE �• I L
FOR 4
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(WR A PI RIX10OPiNG FILINGS1B0AM T/BOAM0US q
I hereby' certify that I own property adjacent to C a vlf %ia mi 77-e � t P C& *r's
(Name of Property Owner)
Property located at LU f 3 9, %yl r 6G PecQ C�vyf ,
(Lot, Block, Road, etc.)
on l7eGY��iJ (�� , in Pi he biod 54we) , N.C.
(Watlecbody) (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 (151) from my area
of riparian acce# unless waived by me.
I -60 not wish to waive the setback requirement.
L11 I rIo wish to waive that setback requirement.
DESCR67MN AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
Signature
Ualk 4P(*ffa' &xWU 16 r
Print or Type Name
(e��) -S�,kE-3-92-3 0
Telephone Number
Date: ' /C:,?/ 1719
TOTAL P.02

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ADJACENT REPA.RUN PROPERTY OWNER STATEMENT
(�OR A PIERIAtooiuNG FILINGS/BOAMzT'/BOATHOUSE)
I hereby' certify that I own property adjacent to.- C� fiq � 11- is
1 (Name of Property Omer)
property located at LU / 3 y, I%c/( 66 AL-0k cc,0' f
(Lot, Block, Road, etc.)
-,in
N.C.
(Watlerbody) (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/boatliftJboathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
I'rIo not wish to waive the setback requirement.
IrIo wish to waive that setback requirement.
DESCR'ITON Alti'D/OR DRAWING OF PROPOSED DEVELOPEEN'T:
('To be filled in by individual proposing development)
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��. ��� .e w 20 � gIG►�y �eaurarl9
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PIm Pua l�UAAy
Si re '-b
N c.K c5
Print or Type Name
Telephone Number
Date: - 2- j l
TOTnL P.02
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