14734_GARDNER, R.J._19950606

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CAMA AND DREDGE AND FILL F I L
GENERAL 9 147,9t
PERMIT L.- &1 -1 -t -e ­7 X
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Reso rces Commission
in an area of environmental concern pursuant to 15A NCAC �% 1 ; OC' I S © c
Applicant am e R + d
Address cbC � 2 e
City . & M C r State
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity -p Ca /ice 1 ­0
A-76,f has, -- l ivI L
PROJECT DESCRIPTION I SKETCH
Pier (dock) length
Groin length
number
Bulkhead length
5--�
maxdistance offshore
Basin, cha//ppnel dimensi`o-ns, )`J
d�if--,k! I j t r�
cubic yards
44
Boat ramp dimensions
Other
Q
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.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
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/ n applicant's signature
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issuing date
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expiration date
attachments �� �� r r r y r J!
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application fe
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SERIALNUMBER YEAR MONTH, DAY POST OFFlOE ,���-e�r.�....._ IJ. S. OOLLARB ANo ceNin
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I
(Name of Property Owner
i property adjacent to
's property located at
o ( Lot, Block, Road, et '. )
on /%cciv in 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)
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r r
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Telephone Number

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
i ( J' 's property located at
(Naof Propeif-y Owner)
(Lot, Block, Road,
// etc.) d /� �--�—
on in t� �ei� 9 -LizI� dam- 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)
w �(1
a
Aignature i�
�/I/
�,� I l i A- i-i li • Ct G
Tint or Type Name
ylq.-.I o- r0,1°1
Telephone Number

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