14813_HUSSEY, JOYCE_19950825

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CAMA AND DREDGE AND FILL
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GENERAL �o14813
PERMIT 13
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
Address
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
Phone Number
State Zip
PROJECT DESCRIPTION
Pier (dock) length
SKETCH
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(SCALE:
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77
Groin length
i
I
f
number
Bulkhead length
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I
max. distance offshore
Basin, channel dimensions_
cubic yards'
Boat ramp dimensions
Other-
4
I
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.
attachments
issuing date
applicant's signature
permit officer's signature
expiration date
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee_
Management Program.

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RIPARIAN LANDOWNLR'b 6TATEMENT
General 6tatute 6113-229' requires t1riat the riparian la-ridOwners
adjacent to a proposed project be given thirty (30) days to object
to
o the project. If an applicant wishes to obtain a permit in a
shorter tiaie, it will be necessary for the applicant to obtain a
signed statuem.ent from, each of' the adjacent riparian -'andowner
stating that the landowner has no objections to tlCie project.
This form -may be used by the adjacent riparian landowner as
a consent form:
atii an adjacent riparian
property owner and have seen a copy of the appli,;ation sub,,,.it-,L,.,ed by
Joyce E. iussey dated August 10, 1995, wherein said applicant
requests a per+Tiit to dredge and/or fill on the land or in the water
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adjacent to any property.
I heave no objection to the project as presently proposed.
I have objections to the project, as presefitly proposed and
mments are attached.
Date
Sign
e of ,,,djacent Riparian Owner
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