14569_SILVERTHORNES, J.C._19950413

CAMA AND DREDGE AND FILL���
GENERAL F'.
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC i'+ �`• .lit?e?
Applicant Namg. f• Ice '='{ ��` Phone Number
Address -L0 ' �'
City
Project Location (County, State Road, Water Body, etc.) .
State zip 7/
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Type of Project Activity
PROJECT
Pier (dock) length
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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.
_�A,4AA IV,,l
���'Cy
� - / applicant's signature
permit officer's signature
issuing date expiration date
attachments t7�,11 *0 0
n issuing this permit the State of North Carolina certifies that
tis project is consistent with the North Carolina Coastal application fee
anagement Program.

�- LAW TRUCKING SERVICE 2 7 8 3
o�(J! 112 CREEKVIEW COURT 919-249-0523 �gp���
MERRITT, NC 28556 �/
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FIRST CITIZENS
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wyoao, nc 25515
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
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's property located at
(Lot, Block, Road, etc.)
6on , in , N.C.
(Waterbody) (Town and/or Co y)
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
(To be filled in by individual proposin
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development)
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Print or Type Name
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Telephone Number

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
(Name
's property located at
r
QQ� (Lot, Block, Road, etc.)
on b1//l/L!/�. �� k in
N.C.
(Waterbody) (Town and/or C ty)
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 DEVELOPMENT:
(To be filled in by individual proposing development)
Signature
Z�ti ��iG Print or Type Name
aGi 70-1
Telephone Number