11895_WELLONS, CALVIN_19930712

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Applicant Name
Address
CAMA AND DREDGE AND FILL to
GENERAL rN.
PERMITas 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
City i
Project Location (County, State Road, Water Body, etc
e_Q_,,q,c-
Type of Project Activity -
PROJECT DESCRIPTION SKETCH
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
State
Phone Number
Zip
(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.
This permit must be on the 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.

ADJACENT RIPARIAN PROPERTY -OWNER STATEMENT
I hereby certify that I own property adjacent to
L)A(,o of &f (')'e S ' s property located at
(Name of Property owner)
(Lot, glock, R ad, etc.)
�g vE sovN� , N.C.
onc�'� ��#4� �- in L.. L
(Waterbody) Tcwn and/or County)
He has described to me, as shown below; the development he is
proposing at that 1_�;-�ation, and, I have no objections to his
proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
NNC`4--_- Fes«
Gr)DUOC J
L4 f2L �A<0 tJt �l��
L sE�T
I � D ver-:, !mil -r,eo wF o F
to-t'( )L
A/Ew 15�64�d-4L6-
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Tel-.�phone Number

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ADJACENT RIPARIAN PROPERTY c-'-WNER STATEMENT
I hereby certify that I own property adjacent to
OA&o/w `s property located at
(Name of Property Owner)
Ip
of Block, Roa , etc.)
C � 0E 5'001q 0 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 hav(_ no objections to his
proposal.
DESCRIPTION �ND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
�rG
P-o'j-
s:
H-L L 1L•
Pr.i_.it or Type Name
Telephone Number

13
EROSION CONTROL SPECIALISTS 729
ATLANTIC BEACH CAUSEWAY
P O BOX 3355 919-726-2191 BB-301531
ATLANTIC BEACH, NC 28512
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PAY TO THE r 1 ;
i ORDER OF
c V�
- DOLLARS � r
FI ST CITIZENS BANK
First -Citizens Bank & Trust Comp 133
Atlantic Beach, N.C. 28512
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FOR o '
�•0 5 3 L00 300�. •L3L2L4853Silo 0729
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