14566_TEMPLE, JON_19950512

0 � 9 ,c/
CAMA AND DREDGE AND FILL
GENERAL45�i
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 % is / /,, .
Applicant[Nlame �l ' -s' Phone Number
Address q H'� `•3
City . irp ti h�p State /i Zip
Project JI ocation (yCounty, State Road, Water 5ody, etc.)
_r
Type of Project Activity % ,��� ti sir 1,11. r -__ v r tit ,r 4 '
t-' f' i ! rJ /2i1 r, ,.i„ �A i a, ✓' ^ . 6, p A r ; + f/ S7
PROJECT DESCRIPTION
Pier (dock) length
M
■■■��.■
Groin length.
number
PAU
max. distance offshore
J■frG■■M
w��w�■■■
E
■■■■■
w�n■E■■■■■i
■■,
w�
cubic,
A■■■■Sii■�ii■
■■�
i■r
Other
This permit is subject to compliance wit t is 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- applicant's signature
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.
permit officer's signature
C
issuing date expiration date
//�, / ^� [ Syr 1
attachments -� C/-7r / � `�t�` j Y / C7 f' �
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee
Management Program.

1. 66-112/531 165
JIM J. TEMPLE
EMMA M. TEMPLE �
P. O3 OLL
ARSHALLBERGNC28553
M19 L-=�/
PAY TO THE $
ORDER OF
�)LLARS
BB&T 60 0
aft­
ft N fAMKING AMO TNUfT GOMT•AMV
OEAUFOflT. NORTH ROUiN�20616
MEMO
i:0 5 3 10 1 1 2 Ill: 5 1 L 2 7088 1411'
5
w

--i . '4 '/ pq/�/
ADJACENT RIPARIAN PROPERTY OWT ER STATEMENT
I hereby certify.that I own property adjacent to
's property located at
Name of Property er)
(Lot, Block, Road, etc.)
in N.C.
on
(W erbody) (Town aTd/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
To be fille
,,e-�«TA
OR DRAWING Vr- rtcurv--
by individual propos
%aA
ure ,
EVELOPMENT:
development)
Print or Type Name
�(
Telephone Number
.

ADJACENT RIPARIAN PROPERTY Oh'NER STATEMENT
I hereby certify.that I
wI ��f'�l •riff �/�
(Haime of Property Own6=
own property adjacent to
6 's property located at
(Lot, Block, Road, etc.)
,Q meµ, , in , N.C.
on (Town a /or County)
(Wa erbody)
Ne has described to me, as shown behave the
no odeectiomsnto hist he
proposing at that location, and,
proposal.
To be t111eQ 1n p
/' Ile4A
Rp,WING nr PROPOSED DEVELOPMENT:
ndividual proposing development)
Sign ure
Print o Type Name
,7 2-
Telephone Number
C

t
I
I
100,
10 � ( 6
i
i�

CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Dear 0 62�
j�ut�f?fAi �I
i1 JIIC1019(6 �V
This letter is to notify you as an adjacent riparian landowner of
/J
Mr./Mrs.�,��� plans to construct ,d
d 7ZZIZ
on their pro erty located at
in�`j,����- NC. The sketch
side accurately delSicts the proposed construction.
on the reverse
Should you have no objections to this proposal, please check the
statement below, sign and date the blanks below the statement,
and return this letter to:
as coon as poste b e.
Should you have objections to this proposal, please send your
written comments to the NC Division of Coastal Management, P. O.
Box 769, Morehead City, NC 28557. Written comments must be
received within ten (10) days of receipt of this notice.
Failure to respond in either method within ten (10) days will be
interpreted as no objection.
Sincerely,
I have no objection to the project as presently
proposed and hereby waive that right of objection as
provided in General Statute 113-229.
I have objections to the project as presently proposed
and have enclosed comments.
Signature
DATE: / �—

A
A►
de -
i

3aos�