7849_BRUHN, TOM_19901119

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Applicant Name
Address
City
Project Location
CAMA AND DREDGE AND FILL 7849
GENERAL c
PERMIT
as authorized by the State of North Carolina,
Department of Natural Resources and Community Development and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC -' N // "' r,
.ounty, State Road, Water Body, etc.)
Type of Project Activity % ().
PROJECT DESCRIPTION I SKETCH
Pier (dock) length
Groin length•
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
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.
Phone Number
Zip 1 2,42 O 7
(SCALE:
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applicant's signature
permit officer's signature
�l-lg-9() a-19-7/
issuing date expiration date
attachments -/ L A( / L / I C 0
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
application fee

z h�reb certity th&t i own property adjeceht to
,s property located et
(Nam at property Owuer
Tax (Part; of) 1335
�Lpt� B160 Roc # e a•
in er s 14,C.
on and down ail oris
County
a erbody
lie hAs described to met as ahWn beiOwt tZ1C aeeelQpms the to his s
proposing Mt that lcv�ttion, and, have ho objection
proposal.
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B q attire
A, s. -
Fxn or Type Name
To ap one HuMbur
I

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
Tom Bruhn Is property located at
(Name of Property Owner)
Tax # 8-4Q-1-12 (Part of) s. R. 1335
(Lot, Block, Road, etc.)
on Back Sound , in Harkers Island , 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.
DES
PMENTi
okqs fY "" G'J'' �^l
K f1L�--
Print or Type Name
Telephone Number

85771

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