7961_MILLER, MARVIN_19910117

Applicant Name
Address ---I
City __tlnE
N DREDGE A "C CAMA AND D DG AND FILL 9 7961
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 -,1ZUr
+R�V�� 11�C2� Phone Number ��C5-2?6Z
C—► State Zip S
• _ — In __1 _
ProjecLocati (County, State Road, Wa_ ter_ Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION SKETCH
I
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
�+n
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.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
(SCALE:
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applicant's signature
issuing dateexpiration d
attachments I L, NC AC]
application fee �� Y�

04 �-� t
01/11-111991 13: 39
MARUIN MILLER & C-O'S 215 582 0681 P.01
A0,;-'tCrj?(T RIPARIAN PROM0,11 CWNE'l SrA7'-MC?4T
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TOTAL P.01

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ADJACENT RIPARIAN PROPERTY OWNER STATE EAT
I hereby certify that I own property adjacent to 14 ,/>I, / Z- S
property located at 1 G7 .0' 5�f. on
'1 ot, occ, r , etc. water
in C' ,:2 ?— N.C. He has
o y) own an or county)
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 a pier
must be set back a minimum distance of 15 feet from my area of riparian
access unless waived by me. 1-4o o not ish to waive that setback requirement.
(cir e)
Description and/or drawing of proposed developrr-ien.:
individual proposing development)
(to be filled in by
name
�- y--7 S s .i :z
phone number

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