14548_WILLIS, SANDRA_19950510

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CAMA AND DREDGE AND FILL
GENERAL
PERMIT
.14548-6
re i
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
Applicant Nara-i,�,,,
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Address /, �'�' L','x 9r f t�?�
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
Spate
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PROJECT
Pier (dock)
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MEN
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Groin length
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number
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1291
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Boat ramp dimensions
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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.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
applicant's signature
�C,
J permit officer's signature
issuing date f' expiration date
attachments ()Y Y, !j 6:f,
application fee / - + G+Pf- Y 0- CjG, 6

SANDRA 0. WILLIS L LI 1!! -- - _ ---_--
SPECIAL ACCO W--
P O BOX 190 104 MOREHEAD AVE 2886
ATLANTIC BEACH, NC 28512
PAY TO THE u�
ORDER OF r 19 66 30/531
First T IL
Atl ens Bonk & Trust ENS K DOLLARS
tic each, N.C. 285 comp BANKy13 r FOR mil{
5 3 100 300 ,ao2
:131?330r, ono — - 2 d 8 6

ADJACENTRIPARIAN PROPERTY OWNER STATEMENT
r
I hereby certify that I own property adjacent to SENORA ©. 1 l� 's
(Name of Property Owner)
property located at IQU. Mp[ HflD (aV>^Hu.E
(Lot, Block, Road, etc.)
I�RN MR�E C�►Ngl._
ono_'FF QOC LXF- Sow4D , in �E CT), , 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.
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DESC$ `ION AND/OR DRAWING OF PROPOSED DEVELOPMENT
-� (To he filled in by individual proposing development)
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Print or Type Name
Telephone Number
Date:

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
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I hereby certify that I own property adjacent toSgNo�ZA ("j, v�� j„L4S 's
(Narne of Property Owner)
property located at t 0 4 . V\C)RL hf AD A\JEA U,E ,
(Lot, Block, Road, etc.)
MR" MAV>V- CfiNgl_
on OFF Q06 U,l SOU.WD in 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.
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DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
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D� V -f
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Print or Type Name
?19- - 72N--
elephone Number
Date: 13, 1 f , 9