14761_BANKS, DEWEY_19950713

CAMA AND DREDGE AND FILL
GENERAL
C
PERMIT 3
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 !32% / Z 00
Applicant Name , 1,V/ J i r
Address
City . 'AA,, r...
Project Location (County, State Road, Water Body,
Type of Project Activity
Phone Number f*j s� V-Z k
State - A-ZC, Zip
re: — r-ed . Zvi A
r
PROJECT•
Pier (qoaky length
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Groin■■i■■
_■■�90=11500000000000■■■
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.,0%VMO7■G6VR!%2dEM■■■
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sMONSOON
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max. distance offshore
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Basin channel dimensions
■■■■
OWNS
INNORENNOMMEN■
■
■■■MEMO
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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-
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
permit officer's signature
issuing date expiration date
attachments f '),)X f%-e `
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee
Management Program.

LAW TRUCKING SERVICE
112 CREEKVIEW COURT 919-249-0523
MERRITT, NC 28556
Ft,
The er Of
RRST CITIZENS 471
Po Bank S imst Company
Boybom, yboio, NC 28515
Fbr
I:0 5 3 L003000.7 L LO 20 3 6 LII'
2988
66-301531
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$ 56a C)e
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F
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
's property located at
(Name crV Property er
I f ^1Y y� 'f ft►.; L "'I S �rl� !' W I.1MI Q ,
(Lot, Block, �, etc.)
on Qa. �.� , in L/� , N.C.
(Wate Ddy) (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
I �'a a, 2—�—W1 C e-
Print or Type Name
919 -/45W'-�83.5
Telephone Number

t • A
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
I
91- ) 's property located at
Name of Property er )
40P (Lot, Block, Ro etc.1
on , in I , , N.C.
( terbody) (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 I/individual proposing development)
Signature
Print or Type Name
3 3
Telephone Number