27511_MYERS, SAM_20010201

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CAMA and DREDGE AND FILL
27511.
G E N E R A L
PERMIT
as authorized by the State of North Carolina
Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC
Applicant Name
Address
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
State
ana attacnea general ana specmc conamons. rrny vioiauun Ul u1esc LC11115
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.
Phone Number
Zip
applicant's signature
permit officer's signature
issuing date expiration date
attachments
application fee

L:UNST INC. 6512
Ph [phone]
t-q/ II Creekview Court
PAY TO DATE
Merritt, NC 28556 66-1521531
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THEORDEROF
$ �UCJ. cad
D TARS
_1�_ACH-0_�.
Wachovia Bank, N.A.
Beyboro, NC 28515
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':0 5 3 10 15 2 91: 0 78 l 00 1 240u' 6 5 1 2

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l hereby c-Itify &zt 1 own property 3:T!acc A W 4 I � -- - ' Y � . � t s � S
(Name of Property Owae.')
(Lot, Block, Road, etc.)
r
(Vv-2terbody; and"fib° CoTaxity)
He b s described to mep as snoxn below, the �eveiopm:.nt be is p OPOS nb at that
location, and, f have, no oCbjec-do S to his proposed• i a1.ndezztand tat a p,-via co-f-Ing
psin-siboad fifooatbouse must be se, back a "P,iitam-arn distance of fftteea #evt (���} arom r3Y area
of riparian access Lmless waived vv r-n!e.
do not sWisdrt to waive the setback, requi ement.
I j-0 Wish to waive that setback renuirement.
J
r
i
�' ;Qtzat• e --�
Prim or ` Name
�aephone Number
J
Date: � 6 7, � L 6

EiO,,3-,iE CIP NVER-1
ADJACEN r RIPA,-RLA-N` PROPERTY OWN -ER STA TENIE:'�'f
ERIMOOVNG PILIVG,<�IBOAIUFI-IBOAIWOUSE,,',
Droce,�t i-ac---..t to
--rfy that I owi
I heebv c
(Name Of Property Owuel�!
Z J-
ted at
ProPe" Y
(Lot. Block,, Road, etc.)
itlephone Num;,e: