8050_HARNED, ROBERT_19920224

CAMA AND DREDGE AND FILL
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PERMIT c--p
as authorized by the State of North Carolina,
Department of Natural Resources and Community Developmen nd 'oas o r s , 0��
in an area of enviro ental conce pursuant to 15 NCAC Vr
Phone N/y
PROJECT DESCRIPTION
Pier (dock) length
XX,31
Groin length,
number /
Bulkhead length,
max. distance offshore
E-4
Basin, channel dimensions
cubic yards
Boat ramp dimensions
SKETCH (SCALE:
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This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any i
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.
applicant's signature
(� cam•//irk v i - f� - /ri�c.��/_
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. I 7The applicant certifies by signing this permit that 1) this pro-Xze_x�_ILI�
T / G
is consistent with the local land use plan and all local issuing date piration date
finances, and 2) a written. statement has been obtained from
adjacent riparian landowners certifying that they have no j�
objections fo the�TZ!k
6jssetl attachments
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fe
;�o
Management Program.z?

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REFERENCE:
LOT 5 B LAC A 5 WT• p, I'sYoQ
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PATE PHILLIPS and ASSOCIATES, P.A.
swonabofos n. c. 28584
sainew n=o - amommo t0
Project NO. 9 1 I "

ROBERT J. HARN'ED, D.D.S.
809 SUMMIT AVE., P. 0. BOX 6012 260
GREENISBOIRO, N-C 27405
79 A 66-0858
7 — 531
PAY TOTHE $
ORDERR OF 7777 iii!
�KT 'z-z -a DOLLARS
F aN First National Bank
GIIC�VII reensborsboro, North Carolina 27402
F OR
° lim 5 3 L08 580i: 70 LBt,08 2 1 7u' 02C3011,1
.ANKE CHECKS W
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TO WHOM IT MAY CONCERN
I, THE UNDERSIGNED, OWNING PROPERTY ADJACENT TO LOT #'S
HAVE NO OBJECTION TO HIM / HER CONSTRUCTING
THE FOLLOWING IMPROVEMENT ON THEIR PROPERTY ;
BUILD OR REPAIR A DOCK
BULKHEADING
3. INSTALLING
4. DREDGING
U. OTHER /3 eq �/ %
SIGNATURE
2-
MAILING ADRESS
CITY
�,y
TE ZIP
AREA CODE AND PHONE NUMBER

TO WHOM IT MAY CONCERN
I, THE UNDERSIGNED, OWNING PROPERTY ADJACENT TO LOT GD/�
STg✓r 14,
HAVE NO OBJECTION TO HIM / HER CONSTRUCTING
THE FOLLOWING I_KPROVEMENT ON THEIR PROPERTY
BUILD OR REPAIR A DOCK
f. BULKHEADING
3. INSTALLING
4. DREDGING
t/5 . OTHER 130,4 -lDys 9-
SIGNATURE
MAILING ADRE 5
CITY
c
C , a 2--e
STATE ZIP
(<�' 1 'i 's-6 Y - z --7
AREA CODE AND PHONE NUMBER

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
I hereby certify thatI own property adjacent to
P', h,,n l J - /11,R ,,Vz Is property
Name
located at ey s % �/c UR i , on
(Lot, Block, Road, etc.)
in r? I op,, / 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 DEVBLOPmENT)
�7- S' 9
Sign ture
7- IZ7-
'R A L Ell lip .. ),A C,F 1
Name
,;/
Phone Number

k
GENERAL PERMIT APPLICATION INFORMATION
APPLICANT'S NAME:
(First
(Middle) (Last)
NAILING ADDRESS: l`' IS�
'-
(PERMANENT)
S [,'q,V:i
STATE ZIP 5� �
TELEPHONE: WORK ( )
HOME
CONTRACTOR'S NAME:
TELEPHONE NUMBER
F s
PROJECT LOCATION. N.C. Hwy. SR �Road/Street Name Uv
Waterway Name P-r 7 FOXd C �;' £ f lt`
County
_ _
Town (I
a
Subdivision 13IKASr,4^ S%.�,/J'1/i//
PROJECT ACTIVITIES:
PIER: Total dimensions of from MHW to
pier platformi�z
(Length) P (Width)
n
'T' 'L'-head
or platform
(Length)
(Width) (Number of Mooring Piles)
Number of Morin Iles J, ,�1�
Water depth at end of pier �� Mooring p
B. 2 HOUSE/BOAT LIFT: Length
Width
Number of Piles ��
Water Depth !-,Z Q V40 -a
.. BULKHEAD: #1
#2
Total length f L
Average distance waterward MHW
`Maximum distance waterward MHW
Total length
Average distance waterward MHW
Maximum distance waterward MHW
RIPRAP• Total length �1/- ?has width from MHW a
EXCAVATION: [MAINTENAN'.:_P ' ONLY' ]
Length j _ Width — ` [� Depth of k;ut
Adjusted water depth on MLW !� Existing water depth(s)
Estimated Cubic Yards (length x width x depth/27)
Type of spoil: Sand Mud
Dragline Backhoe Hydraulic i
7PHER SST�TRRUCTURES •.
1.,�L� � i0,l�i�x .t,� , plc._ /Jl.�� ���� �.l.�/ � o �S.;Qc?�c.. �� �O • �0 7 �