7808_LEWIS, GROVER_19901004

CAMA AND DREDGE AND FILL C 7808
GENERAL
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 Phone Number
Address
City State Zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity '
PROJECT DESCRIPTION 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, ite J �I
drawing and attached general and specific conditions. A y
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. k
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- 41/- cj
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. 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.
(SCALE:
plicant's signature
permit officer's signature
issuing date expiration date

1 .
I hereby certify that I own property adjacent to �D\ Rov E 2
+s property located at C Y S Qj� , 2�y A �s
��� (� V (lot, lock, road, etc.)
2 in N.C.
(water body) (town and/or county)
e 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 ie bulkhe /stricture must beset back a minim un distance of 15 feet
(circle ant)
r,"In
my area or riparian access unless: 4iuved by. me. I do do not wish to
give that setback r (circla one)
equ•iretnent. .
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Description and/or drawing of proposed development: (to be filled
in by individual proposing daualopment)
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I hereby certify that I '.own property adjacent to Rov E 2
,-- e, s property located at -C.vA
(lot, locko road, etc.)
on IV :�. �5 ,Q 1~ '2 in C� Q_C>v iz, C* Noce
(rater 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 ie bulkhe /stricture must be back a minim= distance of 15 feet
(circle ant)
r,r"n my area or riparian access unles, 4rcuved by. me. I do do not wish to
dive that setback r (circle one)
equirc�nent, ,
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Description and/or drawing of proposed douelopmont; (to be filled
iin by individual proposing davolopmant)
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'gnature
Name:
Phone NWitk:r.