11983_QUINN, DAVID_19930629

CAMA AND DREDGE AND FILL
GENERAL
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
n an area of environmental concern pursuant to 15 NCAC %/
Applicant Name &C LtA-,l �(AA- yvi' Phone Number
Address ' y�
City tILte'VI State Zip
Project Location (Cougfy, State Road, Water Body, e-tc.)
T�o of P oject Activity
roP 11 9R3
PROJECT DESCRIPTION
SKETCH6
Pier (dock) length
Groin length
number
^
Bulkhead length`�i
m . distance offshore
i I
I �
' I I
Basin, channel dimensions
cubic yards
I
Boat ramp dimensions
Other
J
(SCALE: / )
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,
applicant's signature
imprisonment or civil action; and may cause the permit to be- ,
come null and void. C144A
This permit must be on the projec—site and accessible to the permit officer's;ignature
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 expiration date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no 21
objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that 1�
this project is consistent with the North Carolina Coastal application fee` S
Management Program.

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
's property located at
(Name of Property Owner)
Dj-
(Lot, Block, Road, etc.)
on � (�&u e-, Md �� 6
, ie ���'fi�i c ✓ ;�fii5w . �i�� 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 AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
Signature
Print or Type Name
Telephone Number

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
's property located at
(Name of Property Owner)
3 I- / Iz 6w 1� �
(Lot,'Block, Road, etc.)
(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 AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
ignatur
P -e I/ L'�- -5-, �S C)A,
Print or Type Nate
qlq-
Telephone Number

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