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CAMA and DREDGE AND FILL 04,7827 _
G E N E R A L
(C114, " 4
PERMIT
as authorized by the State of North Carolina (Ps F I' tt A
Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC i 15'w
Applicant Name ' "*' ! '�c� f �' Phone Number 177' 18"G6S5
Address ' r ' !r Pd
City I. -fc, 4
Project Location (County, State Road, Water Body, etc.)
State
(c-f
Type of Project Activity f`d �' 1; "Ov .11, �n
PROJECT DESCRIPTION SKETCH Hfi - F VI, V1
Pier (dock) Length r,; I CII TV t � .
Groin Length
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions 1
cubic yards ` ' 2 2 r A �
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 become null and void.
This permit must be on the project site and accessible to the permit of-
ficer when the project is inspected for compliance. The applicant certi-
fies by signing this permit that 1) this project 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.
zip SIh
(SCALE: No H C )
applicant's signature
permit officer's signature
S Cl i
issuing date expiration date
' fa
Attachments
application fee
------ ----- - 12766
BOCK MARINE BUILDERS, INC. 66-152/531
233 CORE CREEK ROAD /
BEAUFORT, NC 28516 /�
DATE -310vv
PAY s
TO THE IV C, DE % V
9 ORDER OF Ste• •• ••
DOLLARS
BOCK MARINE BUILDERS, INC.
WIACHOMA
Wnchovin Lank, N.A.
Ik•uufurL NC 11r lo, /
NP
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FOR n 0531031529l: 5467 070L�7n'
il0001276 �;
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M)JACENT ItWAIUAN PROPERTY OWNER S'TATEN1L- N"
I hereby certify that I own property adjacent to
(Nacre of Property Owner)
—2f , �LA
property located at
(Lot, Block, Road, etc.)
�C��t,�("Iin CGv� i vu��-
�l` (+ N.C.
on �.. � k
(Waterbody) (7`own and/or County)
lie has described to rile as shown below, the development he is proposing at that location,
and, I have no objections to his proposai.
------- - ----- --(1
----------------- - -
--------------------------
2 llESCRIPTION ANpIOR DRAWING OF PROPOSED DEVELOVNIEyT
r (To be filled in by individual proposing development)
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ignature
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Print or 7,ype Name
Telephime Nurnbcr
Date:
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ADJACENT KLPAIU- N p1lOPER1'Y OWNER S'TA.TEIVLI NI'
I hereby certify that I own property adjacent to
(Natne of Property Owner)
property located at y � �----
(Lot, Block, Road, etc.) I
� C .
on
(Waterbody) ('Town and/or County)
He has described to e as shown below, the development he is proposing at that location,
m
and, I have no objections to his proposal,
----------- (I\,.
DESCRIlyrION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled In by individual proposing development)
t'Yl �r � �. t-•
�Ijor✓l�. �
(�) ohP
1 r�liw� nary �0
t 14 d" I --
Signature
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I'rirrt Mype. Name
Telephone Number
ate: Z'a17n/ '
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