11860_ROLUCH, F.L._19930520

CAMA AND DREDGE AND FILL
GENERAL i " 1-186 i0.
PERMIT /�w �( - ,-, - r
as authorized by the State of North Carolina (e/
Department of Environment, Health, and Natural Resources and the Coas I s urces Commission
in an area of environmental concern pursuant to 15 NCAC
Applicant Name F ) Phone Number i UCH
Address
City i'^-,t h' State Zip/
i
Project Location (County, State Road, Water Body, etc.) `
Type of Project Activity
PROJECT DESCRIPTION SKETCH (SCALE: / )
Pier (dock) length
Groin length
number
Bulkhead length I
max. distance offshore
,r
Basin, channel dimensions
cubic yards /
Boat ramp dimensions
Other J
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.
attachments
application fee
applicant's signature
�7 permit officer's signature
issuing date expiration date

F. L. ROBUCK, JR.
LINDA H. ROBUCK
PERSONAL ACCOUNT
P. 0. BOX 17102 PH. 876-9200
RALEIGH, NC 27619
PAY
TO THE
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•w.wLn.AMM,wG wwG 1.U�T �OMrnMY
[� 1 RAQLEIGM, NORTH CAROLINA 27602
FOR�7
n'0000L96Tim 1:053LOLL20:5LL003750Silo
1989
66-112
531
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J $
DOLLARS ii

ADJACENT iZIPARIAN PROPERTY OVI2TER STATEMENT
I hereby certiy that I own property adjacent to
�/ p 3 o ' s property located at
( Name of Proper':-' Owner )
�+ (Lot, Block, Road, etc.)
o n C'c��S' O A4 014 z. in �J,� (00peeS N . C .
(Waterbody) (Tcwn 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 PaOPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
16 AT
gts reCfoUc%.�,
iyt_ tture
Pr.'. rl t or Type Name
Telephone Number

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ADJACENT Y',,IPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
1-/ N b,+ Ekt3Af k P. . Is property located at
( Name of roper'.:y owner)
(Lot, Block, Road, etc.)
on in N.C.
(Wat body) M-.an and/or Count
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)
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,o����/,�� d���u ��g , 3 go 00,
To '6C-- 0'!!s�o� 60,
SigMature
E_1e4,)pp- F AP-N I ��
Pri.r:L or Type Name
Telephone Number

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