HomeMy WebLinkAbout7999_DEMENT, RUSSELL AND LYNN_19910506O
Applicant Nam!
Address RU
City
(' — 7999
CAMA AND DREDGE AND FILL
GENERAL
PERMIT �' ra�
as authorized by the State of North Carolina,
Department of Natural Resources and Community Development ansJ t fe oas�a �es�u es,Ggrrunlssion
in an area of environmental concern pursuant to 15 NCAC i / d V ,
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�{ � Phone Number
State Zip
Project Locati n (Co nty, St to I�aad1 Water Body,�tc.l t � Wr > ►� '
IC IF Or r-Y
Type of Project Activity
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PROJECT•
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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.
/ \�_)��V�'r% applicant's signature
ermi officer's signature
issuing date f expiration date
attachments q
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
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application fee
�'X/STiN�j Gl%RTE � �vtyl
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
/, ✓p is property located at
(Name of Property Owner)
(Lot, Block, Road, et .)
on - �,�,c/Ez'. �'� in N.C.
'(Waterbody) (Town and/or Co ty)
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)
/ O4,9
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Telephone Number
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
(Name of Property Owner)
's property located at
1 7,3�Z! 2 r/5 eT: ,
Lot, Block, Road, etc.)
onfio/✓lam ��EZZ� , in ���x� 1 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)
�j �iC/9�'� �� ���� /'i,L/�./CJ�J �1'✓ice �i9��
. -jg(?<
' �- Signature
TD,5 P- - &:'q-"V�- � t" 6FAP�
Print or Type Name
q(q- -7 -)-6- 4-17 1
Telephone Number