13870_GRICE, ELTON_19941123

CAMA AND DREDGE AND FILL
GENERAL ,/ ���
13870
PERM 1T,"k­,/,)C;­//J/.­,
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 t -/ff"
Phone Number
Addressl��'� ���'•
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State
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Project Location (County, State
Road, Water Body, etc.)
Type of Project Activity
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PROJECT DESCRIPTION
Pier (dock) length
SKETCH
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Groin length
number
Bulkhead length
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max. distance offshore
Basin, channel dimensions
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cubic yards
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Boat ramp dimensionsOther
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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.
f� tom✓' , � /�i�-----•- ---- -
applicant's signature
permit officer's signature
issuing date expiration date
attachments 6 � //• /Z U U
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In issuing this permit the State of North Carolina certifies that «;
this project is consistent with the North Carolina Coastal application fee 5C� �'��� - j0
Management Program.

a
ELTON G. GRICE SS 241-54-2064
DOROTHY B. GRICE PH 734-1032 0330
2041 AZALEA DR.
GOLDSBORO, NC 27530 66-770412531
/ ' 19
PAY TO THE
ORDER OF /(/ $
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State E ployees' Cre �s
06 L Green4ifle, North Carolina
FORI2s.����70 C' G
1:25317?0491: 066 25039235030

I hereby certify that I own property adjacent to
7 N/_ (I. _ G j� 1 CE------- is property located at
(Name of Property Owner)
(Lot, Block, Road, etc.)
on ----------- in rfe_re u r� -- N.C.
(Waterbody) (Town and/or Count�r)
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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Plan p tear
Signature
tern n
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Print or Type Name
_VE ------------
Telephone Number

I hereby certify that I own property adjacent to '?6 y/
/a's4ard ry c .22S-30
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_______'s property located at 73�- io3 v
(Name of Property Owner)
C310 CA /r
/ o 7�------------------__ ______•t__ _
(Lot, Block, Road, etc.)
on __--_ l e w __-------- in Y- fE re t� (204 r -N----_, 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.
proposing(To be filled in by individual - .. -
'11
P1a,n b�;ld Pier &+ Lbir �•50
Signature
Print or Type Name
Telephone Number