10996_General Permit_19930324

CAMA AND DREDGE AND FILL ,
GENERAL G'
PERMIT NP 10996
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC !' /
Applicant Name Phone Number
Address . /T % �` Win- FI-11
City . /�t-r p� State 1 zip
i t C.t� /fit
Project Location (County, State Road, Water Bo y, etc.) ' '
Type of Project Act' ity
PROJECT DESCRIPTION SKETCH T ? j` vw )SCALE: )
Pier (dock) length
Groin length
number �j f
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
i J
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 at[ 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.
applicant's signature
permit officer's signature
issuing date expiration date
attachments 14 C 1,14 / S e" --
application fee
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
1 E Peg L) L 's property located at
(Name of Property Owner)
(Lot, Block, Road, etc.)
on 2'� ti Cr2r'F 1c Fr-Fr-14 n V, ?L, 9w N.C.
(Wate body) (Town and/ r County)
He has described to 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)
Sig//n��ature
Print or Type Name
r
Telephone Number
,

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Bill
VP
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ADJACENT RIPARIAN PROPERTY QWNER STATEMENT
I hereby certify that I own property adjacent to
��e
k z E ?,q".L 's property located at
(Name of Property Owner)
_ ��� ��1,iC.0•y 1JR• i
(Lot, Block, Road, etc.)
on Crer61C _r in C&90E-d N.C.
(Wate body) (Town and/ r County)
He has described to as shown below, the development he is
proposing at that location, and, I have no objections to his
proposal.
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DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
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Telephone Number
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