10952_General Permit_19921020

CAMA AND DREDGE AND FILL <=!F_\1
GENERAL 9t
PERMIT N-W �0952
as authorized by the State of North Carolina l
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC >'%/ -- // 0, `f / 2D,�
Applicant N
Address
PROJECT DESCRIPTION I SKETCH
Pier (dock) length '� X 16
Groin length
number
Bulkhead length
/5
max. distance offshore
Basin, channel dimensions.
cubic_yards
Boat ramp dimensions
O th of
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Anyl
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 We 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.
Phone Number U � (� — �76
(SCALE:
issuing date
AV
pplicant's signature
permit officer's signature
expiration date
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.

10/08/92 13:26 STOCKHAM VALUES FITTINGS, INC. 002
I hereby certify th&t 1 own property adjeasnt to
proPfxrty located at
OC$
e " •tit•
on
Mdow
d
in N.C.
water y Town wWor county)
He had 'described to ine.,, as shown bolow, the development he is
proposiagr at that location
proposal. ► .and ► _ have no objections to his
i i 4n�r ww��..��•�r����r.,,p-t•�wIPF Ur s1rr.rrrrrra.�rrrr•���rr rw���r��r �r���ri�r� `
` D Rt 1� DN Oft RAWx Q OP ROPOS D D OP _ T s
To ri Y individual Proposing deve opc6nt)
o
A�
Na,ct,
or c Nina®
(Rdi) 971q q S
Ts ephon* Number

a
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i

e�HTM DESIGN
ST EL 17150�(R-.P 2-72) ^ --`------/--,-`--------Plant, Works, Yard or Division ------------ -- --
PURCHASER-------4AI-"- - -r ( v h---- w�- --------- -
STRUCTURE_�
_ l l --� - C'�J7"7V��luC _ �-'Y-------------------------
DESIGNOF---'-,-�' ----------------------------------------------------------------------
h
-------------------- ----- ------------------------------------------------------------------ �
SHEET ------ I -------- OF- t-------------
CONTRACT OR
ESTIMATE NO ..........................
PREPARED BY_p__________________
DATE- _b[�_*REV
.-------
SCA I,,C- / N - Z 0 '

ADJACENT RIPARIAN PROPERTY OWNER STATEI►WNT
I herebycertify that I own property adjacent to
Y
14 l,-. 's property located at
(Name of Property Owner)
�•61
, 13 Q ma9Ylnr2s COUK-4
(Lot, Block, ad, etc.)
on utiA, I3t %,u.v x L, in tifiu� CZT C'�fiy h' , 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)
PL
W0A�'�
ignature
• T
C
Print or Type Name
Telephone Number
• r

sE1H EHEDESIGNJ
EEM --------------------------------------------------------- 1
17.150 (Rev,F 2-72) Plant, Works, Yard or Division SHEET - - - - - - - - - - - --. OF--_--_-_-_--_-_
qL—
PURCHASER_-_--_'!W A " _ ! !'� " 1� w'r
----------------------------------- -------------------------
CONTRACT OR
STRUCTURE_- LOT'----`-----C-d--- Jk4IvC L�-�l1----------------------------- ESTIMATE NO.------- -----------------
DESIGNOF---�--- ----------------------------------------------------------------------- PREPARED BY------- ----------- - ---
------------ \------ ----- ------------------------------------------------- ---- ----------- DATE_�z� REV.---------------
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