25997_SMITH, RANDY_20000817

CAMA and DREDGE AND FILL
G E N E.R A L
PERMIT
as.authorized by the State of North Carolina s
Department of Environment and Natural Resources and the Coastal Resources Commission
in` an area of environmental concern pursuant to 15 NCAC 1ka_1\uo .1 a
Applicant Name N k 6V Phone Number : • � 7�i "1
Address _) OO 7 � r1. \Q, co
City \' \ uU,A-s " State lL1 C.. Z p a ` N OA
Project Location (County, .State Road, Water Body, etc.)- c— �"x C�< \0 o �b� c>--
e Iawl� �, r�cc�lr cti�
Type of Project Activity cv�s a;. r�.,\Yv oks
.& �0� �4 \A.l' p, e�- �r `b� �, 1l0' t. • 1.a
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,
permit officer's signature
\1 \1 'm ll 1-4 0,30
issuing date expiratior,
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attachments
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application fee
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r f % cL � -0,"'l- Cn� sa
. property located at /,mac ��' � ✓� �
(Lot, Bl(ck, Road, etc.)
on
(Waterbody) (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. F ";
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DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development) '
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Signature
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Print or Type Name
(,�52) 3 2; - 7 3;
Telephone Number
Date: oi/ ;2 6l ;;�

ADJ,8QE, N-i' RIPARIAN PROPERTY OWNE R.,.ST.
I hereby certify that I own property adjacent to /�10 (Na L� e: of I
property located at 1�& '41-5 OP",
(Lot, Block, Road, etc..)
an zz
(Waterbody) (Towh and/or Countx).
He has described to me as shown below, the development he is proposing 'at-th.44.6'cat
A VZi
and, I have no objections to his proposal.
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DESCRJYFION AND/OR DRAWING OF PROPOSED DEVELOPMENT`;;
POP' (To be filled in by individual proposing development)
WFI?� 5,Y1,47
Pa A 4; Y
5
8�! . 1) r\ 'I'- PC/
Print or
Type Name
Telephone Number
Date: