HomeMy WebLinkAbout13860_TARBERT, JOHN_19941221CAMA AND DREDGE AND FILL
GENERAL
Y PERMIT
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as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal ResAs Commission
in an area of environmental concern pursuant to 15A NCAC
Applicant Name r• m- 'Z _r -I Phone Number L D ' `(_ - h45 7
Address o ► s'c;��,4
City A
Project Location (County, State Road, Water Body, etc.)`
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Type of Project Activity r i !7 rah p
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State _
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PROJECT DESCRIPTION1
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Groin length
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max. distance offshore■
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channel dimensions
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1111
NINON
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cubic yards
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.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
issuing date
attachments
applicant's signature
permit officer's signature
expiration date
application fee— f• 0
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USED FOR
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I hereby certify that I own property adjacent to
1J0 4 0 '-J o rZ (i-rU 's property located at
(Name of Property Owner)
(Lot, Block, Road, etc.)
on SI (�-' I (:(l)c(, lc , in N_ff-o AC. Gze�r , NC
(W terbody) (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.
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DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
r'9C�14
Signature
CS
1 i= lli C.;7
Print or Type Name
Telephone Number
i
I hereby certify that I own property adjacent to
� t3 -To Z I is property located at
(Name of Property Owner)
�c� l '�4e? ' S'C-"e -�--
(Lot, Block, Road, etc.)
in N l ��ey p(/C. �/z�i NC
(W terbody) (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.
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DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
lgmture
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Print or Type Name
Telephone Number
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