8849_LAW, FRAN_19910910

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CAMA AND DREDGE AND FILL
GENERAL
1� 9 (-- - 9 9 4 9
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 , 4 / C
Ap licant Name r I, �YV / `ILA Phone Number z `> %SS��
P r.
Address
City . A)$ JI
Project Location (County, State Road, Water Body, etc.
Type of Project Activity
PROJECT DESCRIPTION SKETCH
°ier (dock) length
Groin length —R 10' X U
6umber
Bulk111e%t
ffARqi�
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.
I
State A< Zip
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a
(SCALE:
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applicant's signature
�-1r .-I A : YU - ♦� l �
permit officer's signature
issuing date expiration date
-
attachments
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee.``%
Management Program.

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I he by certify that I own property adjacent to
C55 7 1Jc4-L
pu_,l 's property located at
(Name of Property Owner)
` (Lot, Block, Road, etc.)
on�L e �C�- i n / �,�t ,� k%� �i ��� �.� ,�� �� , 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)
Q
R:.
IL-
O "0 r M
ignature
��,�f�iD�2ti�
Print or Type Name
Telephone Number
[Fmrr-
JUL3 0 1991

10
.
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
)" -ate % ayl ' s property located at
-(Namb of Property Owner)
/r (Lot, Block, Road, etc.)
on A . G-z. c ii in � rAV )� �c �/��� �' N.C.
( aterbody) (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)
C, VT t 1IiIa -10J_ �
Signature
Print or Type Name
Telephone Number
JUL 3 0 1991