11854_SCHAEFFER, CHARLES_19930601

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CAMA AND DREDGE AND FILL
GENERAL 5-4
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 i `'
Applicant Name
Address
City
Project Location (County, State Road, Water Body, etc.)
i
Type of Project Activity
PROJECT DESCRIPTION SKETCH
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
I Boat ramp dimensions
Other
Phone Number
State
4 T7 _.
Zip
(SCALE:
6
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.
This permit must -be -on tht—project site and accessible to the permit officer's signature
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
objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee
Management Program.

CHARLES E. SCHAEFFLER, JR. 0865
SHIRLEY A. SCHAEFFLER
120 WALNUT CIR. 919-247-0114 �7 66-763/531 32
PINE KNOLL
SHORES, NC 28512/ 7 19 y3 009
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Dollars
%ACHOVIA
Warhovia Bank of North Carolina, N.A.
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I:0531076331: 5468 0865

ADJACENT RIPARIAN PROPERTY OWNER STATEKENT
I hereby certify that I own property adjacent to
Ao-'L'ff S r,- Q C. f4i4'e7,
(Name of Property Owner;
'�')o 7r Ix IA
on
(Waterbody)
is property located at
k, Road, VJJ
etc)
in I Wt ULL�ffoAcZ�, ,
(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)
a
N.C.
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Sig gjnajt/ure j
Print or Type Name
Telephone Number
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
C, �1
k'+�`-tzo k--" 's property located at
(Name of Property Owner)
(Lot, Bock, Road, etc.)
on �- cl��cf-S ��V� in ��l� ���LC, C 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)
C
V
�4VDSCD NE:09lMG6-
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Signature
X. C -0 D G�?
Print or Type Name
-A� -IIn a74
Telephone Numbdr

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