7916_ENGEMAN, EUGENE_19910417

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Applicant Namej
Address �►/.�L
City _
Project Location
Type of ProjeuVActiv
LAMA AND DREDGE AND FILLS"�7'1" � 7 9 1 6
GENERAL
PERMIT /164"";(��
as authorized by the State of North Carolina,
Department of Natural Resources and Community DevelopmentA na tal jt'e ce o mission
in
an area
off
environmental concern pursuant to 15 NCAC 2lp 9
Phone?Uber �� •/�_
ty, State,,�oad, Water Body, etc
50�
PROJECT DESCRIPTION I SKETCH
IPiel (dock) length %.36 F1,
•
number
L
lkhead length
ax. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
�t
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 complia
The applicant certifies by signing this permit that 1) this pro -
isis consistent with the local land use plan and all local
finances, and 2) a written statement has been obtained from
adjacent riparian an owners certi ytng 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.
It
/
issuinudate
attachments - / / /
icant's signature
'fide r'sOsignature
expiration date
application fee

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I hereby certify that I own property adjacent to +-
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property located at 2..O-54,41►a_
(lot, block, road, etc.
in g�+�: Cray�h Lo.n4 -, N.C.
(water body) (town and/or county)
le has described to me as shown below the development he is proposing at
that location and I have no objections to his proposal. I understand that
Ithis pier/bull khead/structure must be set back a minimum distance of 15 feet
' (circle one)
ran my area or riparian access unless waived by me. I do do no wish to
(circ a onc)
Wa3.ve that setback requirement.
Description and/or drawing of proposed development: (to be filled
in by individual proposing development)
• (S�ow,� C' 11 c. L, Fly I-)
Signature
Name
af�)6��-�t�s6
Phone NW:ber

i I hereby certify that I own � Y Y property adjacent to l- V q e N 0 4. CIt.�
' s property located at a Sv
(lot, block, road, etc.)
OII' I t22�1� 1\ J Qlt in f1 nJ I (2A'JP rLi C. 4 N.C.
(water body) (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. I understand that
this Fier/bulkhead/structure must beset back a minimum distance of 15 feet
(circle one)
�rom my area of riparian access unless waived by me. I do do not wish to
(circle one)
�iaive that setback requirement.
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i Description and/or drawing of proposed development: (to be filled
in by individual proposing development)
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Signature
Cat •L(� �
Name:
Phone Nwnber.