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Home My WebLink About13100_CURTIS, RICHARD_19940629L:. CAMA AND DREDGE AND FILL GENERAL PERMIT as authorized by the State of North Carolina Department of Environment, Health, and Natural Resources and the Qoasta) Re'5ources Commission in an area off environmental concern pursuant to 15A NCAC Applicant ame It A,,� �� G G"� � his Ph NJ Address r' k -, �' P-7- A (-'r City . - `9•-0 -7 C -'_� .,-/ ! ' / l l . 7. Project Location (County, State Road, Water Body, etc.) Type of Project Activity Jrh.fe'� PROJECT DESCRIPTION SKETCH f Pier (dock) length Groin length ) i State �i �y .-%' • r fir" �:,i/ _7_,,9 rtP one um e, _4c, zip (SCALE: number i Bulkhead length ax. distance offshore --{— -- — Basin, channel dimensions_ cubic yards r ,\ JC r +— Boat ramp dimensions i i I Other -.r This permit is subject to compliance with this application, site V7 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- j 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. applicant certifies by signing this permit that 1) this pro- i�s consistent with the local land use plan and all local ot I.kances, and 2) a written statement has been obtained from adjk6t riparian landowners certifying that they have no objektions 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. icant's signature 1� permit otticer's signature issuing date expiration date attachments application fee -800 , ' ' : 1'U�'1'�1.1. NJO�l'a' Oltl)1;11 15 ; I'1'E � „ 1 �111.. 5 . ' -��0 4 811 3 6 0 1 2 4 U. S DOLLARS AND CEn p05T O R MONTH FFICE 1 L. I. YEAH DAY 1;; 111 ' ... SERIAL NUMBER CMEGKWRITER r' •' IMPRINT AREA pAY TO • / � FROM i/♦. jjj ADDR 5 AppRESS CODN . OR ..... _.«,a«..—."".'... USED FOR � R •tJ/Ul Zl 6048 1,360 L 24u' �.00000B4OO,2."' 'ADJA CENT RIPARIAN PROPERTY OWNER STATEMENT I 'hereby. certify that h own property adjacent' _to- , Y .Y • r• f uKC 's pro pe.rty: located at <'... -� ;:.(Name ..Of PXoperty..Owner) e ^^ LotB Block, Road, ad et . )on C. (wato od ) • Town and/or r County) ) e e o ment he is S. . shown below, the d v 1 8S 5 +•a •descr bed to'me, P •e s• i �H � h • , • prop osin at that•location,.and; I have no objections to•his . .P P g • Proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: i. (To be filled in by individual.proposing development) :14�ca:'r 4 r .a ., !iF .«;,y,. , '� '0t+eh,�,. 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A Flu ADJACENT RIPARYAN PROPERTY OWNER STATEMENT eby. . certi y that I own property adjacent' to T_. I s property: located• at -`. ,:;.:~:.:,• (Name : ofoperty., er): r, r. • (Lot, Block, Road, etc.) ,. on' Sp CIE. , in /Y L42E'I)Ie N. C: Water '(Town and/ r County) ( ) Y • 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) crS — N) a� Signature . Print or Type Nam Telephone Number -�- `I`t ' Date 1a 5. •'�P -. ;� .�4r•. e 4 if si. . .s .*-M ':w .e a.rz-. '7'.. a ,,+aaha. j .. :,ayrt=c rot Vr°a •. 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NEBERN, NC 28564-3482, W (919) 636-2515 1-800-B49-3625 (919) 636-3127 FAX LINE 'Attention Company Fax Number Sender NUMber 0 f P,--IgL-5 to F0110W MESSAGE NOTE: ' If you dc, not receive all of the pages indicated above' please call our office as soon as possible. Please make sure that all pages are legible. d f-r p �q�Y