7810_LOCKHART, EDWARD_19901008

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CAMA AND DREDGE AND FILL C r7 8 1 O
GENERAL '� T
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
Applicant Name t t t% Phone Number I
Address
City
Project Location (Countye tate Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION
Pier (dock) length
i
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other x
SKETCH
Sate
4
Zip
/ (SCALE:
lr �A ✓r C �1 0.. =i.i-��j
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�— applicant's signature
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 issuing date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no I
objections to the proposed work. attachments
permit officer's signature
expiration date
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee
Management Program.

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
Name of Property Owner)
00 --s
S
's property located at
(Lot, Block, Road, etc.)
onvc,�, ���)��� in ��✓,��� ��r,, , 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
(To be filled
h�
OR DRAWING OF PROPOSED
deve
T:
nt)
dN PA 5T
(.-� l mil-! �j � ►.J 1 p
Signature
Print or Type Name
(q,12� 72-r,—,56)(D
Tele'phond Number
I

ADJACENT RIPARIAN PROPERTY OWNER STATE:�
I hereby certify that I own property adjacent to
��-K-ow-7 's property located at
(Name of Property Owner)
3 n��
( Lot , Blc
onPlC:)
(Waterbody)
S�
k, Road, etc.) ��
in �" C�-/�'TeN. C.
(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)
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�NC�
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Telephone Number

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5- 731 q
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