12112_WHICHEAD, SAMUEL_19940303

CAMA AND DREDGE AND FILL
GENERAL �r4 N? _2
PERMIT C 0
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
Applicant NamePhone Number `t
Address
Clt f Ctate ZID
y
Project Location (County,jtate Road, Water Body, etc.) �—
Type of Project Activity _tj ;
k �
}
PROJECT DESCRIPTION SKETCH tel / !f 1 (SCALE:
Pier (dock) length
Groin length
number
Bulkhead length
max, distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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 %�j�. �� ��,•
objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that 6�)
this project is consistent with the North Carolina Coastal application fee h }f
Management Program.

CALVIN ROSE 66-85 2812
ESTHER ROSE 531
PH. 728-5774
STAR RT., BOX 636, BAYVIEW DR.
HARKERS ISLAND, NC 28531—19 �!
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
A Lt l= / d '. LJ c h "L � s property
(Name of Property Owner)
/� (Lot, Block, Road, etc.
on � e J� t%4 y in 11A/- A-, <.r- 71 /X N. C.
(Waterbody) (Town and/or County)
located at
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)
Signature
L.ue--;,rA L . M?2 k a.s A 1---Q
L o -
Print or Type Nam
Telephone Number
f

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby /certify that I own property adjacent to
� Lcr- / 0- �-) 1i ; :f - 12'? A -�( ' s property located at
( Name 4
Property Owner
/l (Lot, Block, Road, etc.)
on G i QS �' �f1 y in /7"41- /+"t'lf 21'141vg1 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)
Signature -
Print or Type Name
Telephone Number