7833_MURDOCH, PRESTON_19901119

CAMA AND DREDGE AND FILL'
�833
9
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 %!/-
110A
Applicant Name
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Phone Number
Address
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City nI&Iin
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zip /
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Project Location (C
ty, State Road, Water Bo y, etc.) I
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Type of Project Activity
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PROJECT DESCRIPTION I SKETCH (SCALE: )
Pier (dock) length
Groin length.
number
Bulkhead length;
max. distance offshore c
Basin, channel dimensions
cubic yards U Y �I U 4/ (f L,i 7
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.
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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.
l` applicant's signature
permit officer's signature
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issuing date 1 expiration date
attachments — / //w
application fee /lJow�

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
I hereby certify that I own property adjacent to
PAL�-
s property
. Name
located at �-Mc %j f on
(Lot, Block, Road, etc.)
in , 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 a pier must be set back a minimum
distance of fifteen feet (151) from my area of riparian access
unless waived by me. -
I do not wish to waive that setback requirement.
I do wish to waive that setback requirement.
Description and/or drawing of proposed development: (TO BE
FILLED IN BY INDI UAL PROPOSING DEVELOPMENT)
Phone Number

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
I hereby certify that I// own property adjacent to
MC(D ' s property
Name
located at ; (�f �7 �� S 7 on
(Water Body)
(Lot, Block, Road,.etc.)
in , N.C.
(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 a pier must be set back a minimum
distance of fifteen feet (15') from my area of riparian access
unless waived by me.
I do not wish to waive that setback requirement.
I do wish to waive that setback requirement.
Description and/or drawing of proposed development: (TO BE
FILLED IN BY INDIVIDUAL PROPOSING DEVELOPMENT)
Phone Number