10992_General Permit_19930302

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Applicant Na e
Address
City
Proiect Location
CAMA AND DREDGE AND FILL
GENERAL
PERMIT 11all4eIr" N
- Na
9
10992
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 % // / "C " �­ / % n
C A" � Phone Number � �
2.g a State r Zip aye a
, State Road, Water Body, etc.)
Type of Project Activity ?
PROJECT DESCRIPTION
Pier (dock) length
Groin length
SKETCH ` '� l �' " ` (SCALE:
I� /� )
ro
number
Bulkhead length ^
y r)
max. distance offshore fJ_eitpL¢�ya���
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
R
L
a /9
7 7
i
r .
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.
issuing date
C
4, ; ,y —_
applicant's signature
permit officer's signature
J
expiration date
attachments
application fee 7 �� 04 ��y

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
I hereby certify that -I own property adjacent to
Cl 11� ks 's property
Name _
located at %f 0f6VP-x , on
(Lot, Block, Road, etc.)
►J 194 KiJhK in M.0 - cc) , N.C.
water Body) (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. I understand that a pier must be set back a minimum
distance of fifteen feet (15') from my area of riparian access
unless waived by me.
V I do not wish to waive that setback requirement. DockK
I/ I do wish to waive that setback requirement. l&)Jc�F-L
Description and/or drawing of proposed development: (TO BE
FILLED IN BY IND UAL PROPOSING DEVELOPMENT)
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Name
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Phone Number

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
I hereby certify
ytthat -I own property adjacent to
N0(A-)AIn's property
Name
located at Z /�-X d, on
(Lot, Block, Road, etc.)
UiVt in P Wig c d N.C.
( ater Body) 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. I understand that a pier must be set back a minimum
distance of fifteen feet (151) from my area of riparian access
unless waived by me.
_ I do not wish to waive that setback requirement. Dock
I do wish to waive that setback requirement. C,,Loehi�A)
Description and/or drawing of proposed development: (TO BE
FILLED IN BY IND�� UAL PRO ING DEVELOPMENT)
Y
;E&Smx%U
A�=fL
tl �IL
P6
�Ra pas�� rLU .
131'� LJ Signature
�F&J % s LD , T bock
Name
a,
Phone Number

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