HomeMy WebLinkAbout11461_General Permit_19930715• CAMA AND DREDGE AND FILL
GENERAL'` t-
R
PERMIT
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 % f' Phone Number
Address
City `` State Zip
I
Project Location (County, State Road, Water Body, etc.)
.t .
Type of Project; Activity
PROJECT DESCRIPTION
Pier (dock) length
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Groin length
number
Bulkhead length
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max. distance offshoreIT
Basin, channel dimensions
cubic yards
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.
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.
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applicant's signature
permit officer's signature
attachments
issuing date expiration date
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee
Management Program.
s6- 112 961
FRANK SANDTNER 531
ANN SANDTNER
a S'� L42 N. KINSTON AVE. 240 5230 iy
ATLANTIC BEACH, NC 28512
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MONF:NEAD CITYUNt)NfTN CAftOLINA 28D]T
1:05310112W1233066288119 0961
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ADJACENT RIPARIAN PROPERTY r, 1rtF,R STATEMENT
I hereby certify that I own property adjacent to
Is property located at
( Name of Proper- _y Owner)
` /,/, <.'11,1S7vAl (,fir v C
(Lot, Block, Road; etc.)
on �!,= , in �i �L-�"77C- N.C.
(Waterbody) (Tc wn and/or County)
He has described to ine, as shown below, the development he is
proposing at that location, and, I have, no objections to his
proposal.
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DESCRIPTION ANWOR DRAWING OF P JPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
��� 1 �l It�1�.,� tl C'_ _.. �f2��✓C� (h1G !� � ' �5 G�—'j� � �1
AIC6,A TO
gi ature
Pri:-,t or Type Name
Telr,phone Number
ADJACENT RIPARIAN PROPERTY OWNER STATENENT
I hereby certify that I own property adjacent to
Is s property located at
(Name! f Property Owner)
(Lot, Block, Road, etc.)
on (2 in � &A,e.I7 N.C.
(Waterbody) (To-w,m 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 P�kOPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
eAI,L / -t "A '�,/ e - 'R&/ P
DtZ609)(A-19, OP�
l ,�, (2-u, y,0?3, 710 'UC f��v�,�
Sigr.ature
Prhit or Type Name
Telephone Number
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