10949_General Permit_19921019

CAMA AND DREDGE AND FILL
GENERAL
PERMIT f�v
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources ar�
in an area of environmental concern pursuant to 15 NCAC
Applicant Name
Address
City, j�
Type of Project Activity
j - N9 *in
949
the Coastal Resources Comm
,
Phone Number 9 ( / 7J Ll � /
PROJECT DESCRIPTION SKETCH y Lv /� %/I (SCALE:
Pier (dock) length
Groin length.
number
Bulkhead length
��
i� k' Y�
max. distance offshore
Basin, channel dimensions
cubic yards
�1
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 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.
Papplicant's signature
permit officer's signature
issuing date expiration date
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.

F�n
ARINE CONSTRUCTION
S R. WEBB, OWMER 2076
1885 PH. 919-726-1253
AD CITY, NC 28557
I�. 66-85
+ 1 19�� 53t
OO
DOLLARS
Centu Bank
mantic B� '"
is
FOR
II 0000 20 7611- i:O S 3 100E S01:0 2B 20 1 S 481Bus

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A44fflt)
SG &U_),4 L4.
I hereby certify that I own property adjacent to )?"1})--)-p MOP 11- 1b 's
property located at 1 I u '[�Tw Ir F G7
(lot, block, road, etc.)
on mV4 MSC" C 14,144L in pl/'�F k�yL`lL 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 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)
t T,
Signature
w o fYTOZ/-/
Name
Fy6 -!5� //S
Phone Number

r
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A-P4I
I hereby certify that I own property adjacent to T�i -0h-9D MO-)SElrLD 's
property located at q AT5 b-P-0 1 1�-E (2:-1
/ (lot, block, road, etc.) I I/
on Ma / i {� � VD C- COPAL in ?//4-r I� b LL, 40Z N.c.
(water body) (tom 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 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)
CA
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Signature
Name
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hone 1 umber

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