10701_General Permit_19920303

CAMA AND DREDGE AND FILL
GENERAL
PERMIT N' 10701
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and_ t g Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC
Applicant Name
Address
City . p1 % A
Project Location (County,
Type of Project Activity
�/OL l
V
ite Road, Water Body, etc.)
(._ )}Pa/ 6 ) - 6, r1p
/n .J e Ir
Phone Number
State NC- _ Zip 70 $C
IT((i /V(>N', 'r?)(-PU. /-�'/-"'
PROJECT DESCRIPTION SKETCH .J(SCALE:j )
Pier (dock) length /t]
ii 1
Groin length �u
number
Bulkhead length
max. distance offshore, \�
Basin channel dimensions �t
cubic yards
Boat ramp dimensions
Other
L
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
a 3
issuing date / expiration date
attachments
r
application fee �� r �U

F= E E— 1 7— 9 2 M O N 1 1 : 2 7 T R I A" G L E COMM UN I CA T I O N S P_ 01
r1G1-4 1 0 P I NE STATE KN I TWEAK
F'- �1
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify tf)at I`own property adjac:ont to
' s property
f, located at: �.v :l„•_!� tiv'�5fi',�
A a u e S o u'Ac� zo , 1 C; rmud ; et "*T
.,
ccq f co-t-114f ..._� in __.. t-Plrt e c� , N.C.
ater o y own an' or ounty
He has described to me as indicated below the devel,oprrtent
he is proposing at that location and I have no objections
to his proposal. I understand that a pier, pilings and
drodging must be oet; back ti minimum tIiaCance of fifteen feet
(15') from my area of riparian access unless waived by me.
y I do not wish to waive that setback roquircment.
I do wish to Vtaive that setback requirement,
Description and/or drawing ofproposed`development;
(To be filled in by individual proposing development)
vvz 0 Vr r I c [� TO
1 a C.,YV,:�- CL l e. }f' V-vl a w e�
Post-lt-" brand fax transmittal memo 7671
No+aatao: P
Fax M ,
S IJ t I t kur e
Prat. N;�me -

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
Smith Ho1C9m6 's property
located at 103 First Street on
Bogue Sound (Lot, BiocR,Road, etc,. -)—
Access Canal in Atlantic Beach , 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 m st 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 that setback requirement.
C, I do wish to waive that setba.:,. requirement.
Description and/or drawing of proposed development:
(To be filled in by individual proposing development)
Date
c PROPOSED MAINT. DREDGING -
Removal of soil under Boat Lift to
allow cradle frame to lower completely.
gnature
/o Ll,S Al2,>7i
Print Name
—22-(-,, 00�3
Phone Number