13057_WILLIS, DARRELL_19940427

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CAMA AND DREDGE AND FILL
GENERAL
v.
PERMIT (4
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
.11 in an area of environmental concern pursuant to 15A NCAC e''
Applicant Name 1 '
0 -�' i f +' 1' f' 3 Phone Number ) 01 f� S
Address
City s State Zip ;., i
Project Location (County, State Road, Water Body, etc.) - n ` 9 �' Ty x
Type of Project Activity
PROJECT DESCRIPTION
Pier (dock) length
SKETCH
{
S
1
_f
(SCALE:
}
Groin length
number
Bulkhead length
ax. distance offshore
t
--
Basin, channel dimensionsVA
i
cubic yards^
Boat ramp dimensions
Other
i
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 -
is consistent with the local land use plan and all local
nances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
objections to the proposed work.
applicant's signature
permit officer's signature
y- ;
issuing date expiration date
attachments
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
application fee

1
L. DARRELL WILLIS 1560
MYRNA L. WILLIS
;i PH.728-2835 / !J 66-763/531
ST. RT. BOX, 238 CANAL DR. J 009
® HARKERS ISLAND, NC 28531
or�l�ra
Morehead Bunk of North Carolina, N.A. W
Morehead City, NC 28557
1:0531076331: . 5467 19SS13116 s 0
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER AND/OR A BULKHEAD)
I hereby certify that I own property adjacent to
s property
Al
located at p on
l�J Q i n
(Water Body) (Town and/or County)
N.C. He has described to me as shown below the development he
is proposing at the location and I have no objections to his
proposal.
Description and/or drawing of proposed development: (TO BE
FILLED IN BY INDIVIDUAL PROPOSING DEVELOPMENT)
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Signature r
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Name
Phone Number

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER AND/OR A BULKHEAD)
I hereby certify that I
own property adjacent
to
s
r o e r t
p p Y
located a t�� `7 �_— c,�5�_ �� J /Lvv-�e �( g on C�'
W x i n OJT �U2 fit.( C�/ (1�U�
(Water Body) (Town and/or County)
N.C. He has described to me as shown below the development he
is proposing at the location and I have no objections to his
proposal.
Description and/or drawing of proposed development: (TO BE
FILLED IN BY INDIVIDUAL PROPOSING DEVELOPMENT)
-:�)C4wt+ L.
r^
Moore
Pik,
�Ay
Signature
Name
Phone Number