13968_TODD, H.R._19950131

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CAMA AND DREDGE AND FILL
GENERAL
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 IL'A &dW•
Applicant Name //. P 7"'de/
Address
City
Project Location (County, State Road, Water Body,
Type of Project Activity
Phone Number % l— 1 �/1 `9 ^ 0
State /U C _ zip
c SS 41.3114111 A ,r: al
PROJECT DESCRIPTION
Pier (dock) length
SKETCH
' If
(SCALE:
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Groin length.
_1
a
i
number
Bulkhead length
j
max. distance offshore
i�T-
Basin, channel dimensions
I
FPO FUSf*o �
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!7P I I
ri(J
Y
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cubic y ards
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 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.
%ittqi /.i rOr'GF'�r�c• u; .•�,r OCR{�'C�n •-" rdl.�Sr.,
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applicant's signature
permit officer's signature
r�
issuing date r expiration date
attachments o', I-1 , 1160
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
C)L,V
application fee �•���� # 1

40 COASTAL MARINE CONTRACTORS 3094
PH. 919-638-6407
1897 JACK RABBIT LN.
NEW BERN, NC 28562 66_112
531
PAY n 19-1
TO THE , ORDER OF �
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FOR P�?'>n
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
f 7 i/�r,0,D is property located at
(Name of Property Owner)
TD /V KQ'
Lot, Block, Road, etc.
on C��S ���5 �+t��r� in O%/e//7 9L , N.C.
(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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
Si_gnature
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Print or Type Name
Telephone Number
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