13867_BROWN, MILFORD_19941115

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CAMA AND DREDGE AND FILL
GENERAL cs;G7-C
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 01114. ►ioc, . rzw. ` "Su(j
Applicant Name iyr� r���i� Phone Number
Address
City State Jt«• zip J ` 7
Project Location (County, State Road, Water Body, etc.)'�m �'�
i ?k�IW'4r i re a y,-p(1.-
Type of Project Activity
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PROJECT DESCRIPTION
Pier (dock) length
SKETCH
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4.1 i.
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7TT-71T
(SCALE:
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Groin length
number
Bulkhead length
max. distance offshore r�
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Basin, channel dimensions
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ry "�
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cubic yards �d F ,r
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X
3
Boat ramp dimensions
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Other 1�rx.a 1c
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-
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.
applicant's signature
d/ permit officer's signature
issuing date expiration date
attachments L/r�T. /GKY
7
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
,ar Gig° application fee

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USED FOR
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I hereby certify that I own property adjacent to
s
's property located at
(Name of Property Owner)
'014'? 1-► - 1 41; r'
(Lot, Block, Road, etc.)
01, NC
(Waterbody) (Town andlor 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.
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DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
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gi&ature
To W ISM' BATS©.J
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Print or Type Name
919- 2qJ- /9?/
Telephone Number

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
is property located at
(Name of Property Owner)
Block, Road, etc.)
on w co,, C2r; rc , in [ },�' f,c 5 /A/� �jn �i Ct NC
(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)
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Signature
Print or Type Name
4_1 ��-/�-(
Telephone Number