8804_BONE, MALCOM_19910517

CAMA AND DREDGE AND FILL ed 8 0 4
GENERAL
PERMIT
as authorized by the State of North Carolina,
Department of Natural Resources and Community Developmentd stolesources Commission
in an area of environmental concern pursuant to 15 NCAC 7prt�fUC
Applicant Na 'm �7d�- ram 8� Phone Number
Addres _ p
City 7'W .5 1 State r zip
Project cation (C4u ty, State Road, Water ody etc.) KS ��a
P -, e S
Type of Project Activity
PROJECT DESCRIPTION SKETCH (SCALE: )
�(
'ier (dock) length 7
Groin length
number ilr C� 7y' !� (� /✓ � c� C Cr _
Bul(k/�ead lengthIf
max. distance fshore
Basin, channel dimensions
cubic yards
Boat ramp, -dimensions L
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.
applicant's signature
permit officer's signature
�?--/7— 9 r
issuing date
attachments f " C%l C ;2ft / /O O
expiration date
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
application fee 7 0, O

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
A1_eoL.wA k F4.) IA3477ii '� ONIC 's property located at
(Name of Property Owner)
IT/k
Lot, Block, Road, etc.
, N k i-No r N. C.
on )NIi �N9L� SAorttS 'E1�"8L-- in �� •a> ,�:
(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)
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Signature
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Print or Type Name
Telephone Number

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
e 0"*1 t F61*Ad'C1'k L),
(Name of Property Owner
's property located 'at
l� A23o�Virti� �RlVC IF
(Lot, Block, Road, etc.)
on }R)U& kNDu S#4ouj CANAL- , in P/'U# l�/vd�c. Sr�aRRs , 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)
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int or Type Name
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Telephone Number