13178_GWALTNEY, RALPH_19941010

Applicant Nam
Address J 6
7
City �L?_'_.i
Proiect Locati fq (County, State
Type of Project Activity
PROJECT DESCRIPTION
Pier (dock) length
Groin length,
number
Bulkhead length
Wax. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp di ensions
-A7
Other
A V
CAMA AND DREDGE AND FILL
GENERAL , ' 13178
PERMIT
as authorized by the State of North Carolina ; i ,' Department of Environment, Health, and Natural Resources and the Cl-al Res6 ommeV
in an area of environmental concern pursuant to 15A NCAC ,if �� �' �y
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Water Body, etc.) r
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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.
T applicant certifies by signing this permit that 1) this pro -
is consistent. with the local land use plan and all local
nances, 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.
signature
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issuing date expiration date
Ale Yattachments r / ,�� ^/�..%�Z
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application fee,

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ORDER OFPAYTOTHE ell
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W&ChOvia Bank of North Carolina, N.A.
Morehead City, NC 28357
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S3 LOIS 291:5466 9 8 lie 08 1
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
ame of Property
(Lot, Blc
on 11
(Wa erbody)
%�
k, Road,
is property located at
etc.)
in N . C .
(Town and/or Count)f)
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 iiv�ual� proposing d eR� e�t�
/W -- --
w
Sig aturj
Print or T e Name
Teflephone Number
v OCT 1 0 1994
L-JJ `
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i

ADJACENT RIPARIAN PROPERTY OWNER STA
,gyp-�f,.�,k' �t,��`�'F"�r,•�.•l ��"�'
I hereby certify that I own property adjacent to
's property located at
(N$me of Property,JI)wner )
—a (Lot, Block, Road, etc.)
on , in �rl,, N.C.
(W 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 by individual proposing development)
Cyr
CCU' 1 0 1994
Signat e
C1�-la0 Z Z& M , /--L
Print of Type Name
q10-02 4 9 -1�7o �7
Telephone Number