HomeMy WebLinkAbout14828_GUZZO, MICHAEL_199409134-1
CAMA AND DREDGE AND FILL
GENERAL
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 /7 X'
Applicant Name
Address
City
Project Location (County, State Road, Water Body, etc
Type of Project Activity y
PROJECT DESCRIPTION
Pier (dock) length
X,l7r ..
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other`')
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SKETCH
t
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.
U
Phone Number / *8! 297 ` 26 ? 7
State AlT Zip
(SCALE:
applicant's
l permit officer's signature
issuing date expiration date
attachments / // /� 0 0
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
Pay'
The IOrder Of
FIRST CITIZENS —
D FIr54Clllaens Bank A Dust Compony
Boyboo, NC 28515
6,os is�8a8-c 1 FiP # �y79.S c
For
1:0 5 3 L00 3001:4 7 L LO 20 36 III,
3056
66-301531
$ "'00, U-ej
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31 56
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
m ' -k'
(Name
's property located at
(Lot, Block, Road, etc.)
on , in 7 ��< �c�u �� , N.C.
(Waterbody) (T—��
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)
S' natu e
.Jeer: 170ri is o
Print ok Type Name
(9oq-) 2-97- 263s
Telephone Number
/ e e4l
&T
o SENDER:
Complete ;'!ems 1 and!/or 2 for additional services. I also wish to receive the
/h A .��� a,• Complete items 3, and 4a & b. following services (for an extra AL, Print your name an,! address on the reverse of this form so that we can fee):
> return this card to you. .,
• Attach this form to the front of the mailpiece, or on the back if space 1. ❑ Addressee's Address p
does not permit.
C • Write "Return Receipt Requested" on the mailpiece below the article number. O
2. ❑ Restricted Delivery
• The Return Receipt will show to whom the article was delivered and the date 4)
c delivered. Consult postmaster for fee.
3. Article addressed to: 4a. Articl mhpr /—,— ''
a� 72�(%/ /J
p 4b. Servi6e e d
El Registered ❑ Insured
XCertified COD c
w ❑ Express Mail Return Receipt for
OC Merchandise
=/ 7. Date of Delivery w
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5. ig re ( re see)8. Addressee's Address (Only if requested Y
l and fee is paid)
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C . igna (Agep'�%j- H
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y PS Form 811, December 1991 *U.S. GPO: 1992--323.402 DOMESTIC RETURN RECEIPT