13909_WERNER, BETTY_19950202

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Applicant Name
Address ' /1�.
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
Phone Number ' `! - � L! ,5?O 0-
City State i �-" Zip
Project Location (County, State Road, Water Body, etc.) - t-�> � ?
ri i l q. j,.L 1� (j i - 1 i�t ''• fil. +� /"1P 4—
Type of Project Activity' �% �✓ ! > >✓�
PROJECT DESCRIPTION
Pier (dock) length
M
Groin length
■
number
Bulkhead leng 1; th
■
MOM
rMs
max. distance offshore
Basin, channel dimensions
WON
cubic yards
ME
Boat ramp dimensions
MONSOM
Other
MESONS
mom
ME
OEM
0
mom
mom
ONE
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.
1i61
applicant's signature
r
1
issuing date
attachments / ✓ C A
permit officer's signature
expiration date
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
r
application fee

JOSEPH A. DIXON, JR. 1336
NCDL 1586948
P.O. BOX 2672 _ 66-7538/2531
ATLANTIC BEACH, NC 28512 _i 9--
PAY TO THE I
ORDER OF - - — -- -0 - - - ----- --- 6 �U
DOLLARS
erry Po t Federal Credit Union
` 1208 East Main Street
Fp siocx. Nonh Carolina 28532-2405
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1:253175384I: 1080100 c) II' 1336
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1.
ADJACENT RIPARIAN PROPERTY O`NNER STATEMENT
I hereby certify that I own property adjacent to �. #L/ /�L°� °s
e of Property Owner)
property located at t
! L (Lot, Bloc , Road, etc.)—�
on JC 1cy- c_cp 4o I �1%P.tTP� on. in � -, erg / , 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 DRAM G OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
Sig ture
ltsL'F
Print or Type Name
Telephone Number
Date: �/ — ! — X-�

ADJACENT RIPARIAN PROPERTY OV4'NER STATEMENT
11 ,
I hereby certify that I own property adjacent to l 1, b"/ e,Y s
Name of Property Owner)
property located at �o f 5J SIP 4 7 -e ,)ol-- /v -e_.
(Lot, Block, Road, etc.)
Tv n C's 4c, M
on �D/P e: Pe �c�a tP,u�a4_, 0a iZZeete7 , 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 propo
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
Signature
Print or Type Name
Telephone Number
Date:

El