10893_General Permit_19920916

'r. ACAMA AND DREDGE AND FILL
GENERAL
PERMIT -o iag��
�oP
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Co eesources Commission
in an area of environmental concern pursuant to 15 NCAC 7 i4
Applicant Name
Address %C {'
City . ����a
Project Location (Cou�ate Road, W ter Body, etc.) l
/ f C. -7 9 C / S
Type of Project Activity �- #c,
PROJECT DESCRIPTION SKETCH CL
Pier (dock) length
Groin length.
number
Bulkhead length
max. distance offshore
I Basin, channel dimensions
cubic yards
Boat Camp dimensions
i
' nu perrrIlL is suolect to compliance wan tnis 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.
J,
Phone Number 3 6-
tate Zip
e4' 1� F'� (SCALE-
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issuing date expiration date
attachments _�!/ �!� r
application fee ly' V d �� ?
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GRAFTON BUILDERS
Star Route Box 12 AA
Swansboro, N.C. 28584
• Remodeling • Docks
• Additions • screen Porches
• Decks . Framing
Our Reputation Scott Grafton
Is Building 919-393-6137
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GRAFTON BUILDERS 113 8
S.R. BOX 12AA PH. 919-393-6137
SWANSBORO, NC 2064
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
( FOR A PIER)
I hereby certify thatI own property adjacent to
PM uL- 14F-M 8.Y is property
Name
located at -?a u
O(t.w'rs Cr,..r-
(Water Body)
5 ' o u ,NOD Die
(Lot, Block, Road, etc.
4e ( /a , on
in fF f1^4vf *- It-� =S% , N.C.
(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 must be set back a minimum
distance of fifteen feet (151) 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)
fJ-+ LeJ k O p-C--LC.. z. s+f- -i2S
Signature
�411-�/, 0-- 1.,
Name
Phone Number

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
I hereby certify thatI own property adjacent to
Uk *We rA� y Is property
=M.
located at 7009 567 uv%S q--o— A-wrt /l9 , on
�(Lot, Block, Road, etc.)
Arc k ri Ott/�- in I ".-401 4 D4': v--- , N . C .
(Water Body) (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 must be set back a minimum
distance of fifteen feet (151) 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) r
gnature-T
Name
Phone Number

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