13152_WILLIS, DARRELL_19940906

CAMA AND DREDGE AND FILL CI-N\
GENERAL �. r - ` � 1.3152
PERMIT
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 15A NCAC
Applicant Name 0ii, " .t P J 1 ' 4 Phone Number 3
Address
City f-- State Zip 1
Project Location (County, State Road, Water Body, etc.) •' �� i �- t"f
Type of Project Activity -- L.
PROJECT DESCRIPTION
Pier (dock) length
SKETCH �'j /4
(SCALE:
)
i
Groin length
number
Bulkhead length
Ask
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Wax. 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,
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 -
Ois 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.
Y
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10*
applicant's signature
,• r
permit officer's signature
issuing date
- �
attachments � /) d� /I t � _
expiration date
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
application fee ('j`

L. DARRELL WILLIS
MYRNA L."WILLIS 66-1521531 6 6
�) PH 728-2855 SSN 243-80-6190
ST FIT
BOX 154 CANAL DRIVE
HARKERS ISLAND, NC 28531
WachoviA Bank of North Carolina, NA.
Harkcrs 1sJuud, NC 211531
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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
61n� D/G�Z2-� E `� 2 �. ��? ' s property
located at
on
l
�k) -Ldi in
(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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Name
Phone Number

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER AND/OR A BULKHEAD)
I hereby certify
that I
own property adjacent
to
Q/tVy
IJQ�v�__
JT�
' s
property
located
ocated at. `7f" - L/V-6-K- on
(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 PPOPOSING DEVELOPMENT)
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Signature
Name
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