21403_WILKE, DAVID_19990113

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CAMA AND DREDGE AND FILL 02 4
GENERAL
PERMIT rcIl
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and t" Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC i /©G
Applicant Name ,`' 1', 1 "I t i x -+'' Phone Number 7 fit " 239 _ 7� 1 1
Address "t �% -7
City State �l i Zip -
Project Location (County, Jtate Road, Water Body, etc.)
-[.ype of Project�r
Activity
PROJECT DESCRIPTION
SKETCH Ix, /`T �7 (SCALE: /. )
Pier (dock) length
Groin length
number
Bulkhead length
„
_.Or
max. distance offshore
Basin, channel dimensions
.
y
cubic yards
�w
Boat ramp dimensions
-r- �
Other
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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.
attachments
applicant's signature
1
permit officer's signature
issuing date expiration date
r ? f/ lee
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application f
Management Program.

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SERIAL NUMBER
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FROST OFFIC DOLLARS AND CENTS
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00060D21: 6 9 0 NEGOTIABLE ON I THE-U.S AND POSSESS ONS
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JAN 0 8 1999
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- ------------------- ----------------- ------------ -----------

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to ��C�i -yy ,
s
(Name of Property Owner)
property located at ��404�1
(Lot, Block, Road, etc.)
•
on in
aterbody) 61 (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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPNIEV-'
(To be filled in by individual proposing development)
JAN 0 g 1999
Signature
Print or Type Name
Telephone Number
r
I Date: