13953_MACKVICK, EUGENE_19950111

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 0,/X/, iloo
Applicant Name's ` ` ^1`c �fif ai /' �. Phone Number
Address /Octet
City r /' .. /: '., . , State A) C. zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity e i S / '-'
61C_ C — C44,0 _2'7n4
PROJECT DESCRIPTION
Pier (dock) length
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number
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ENE
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SEES
distance offshore
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cubic yards
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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
f• // f' i a'rr' t f
applicant's signature
attachments
permit officer's signature
issuing date expiration date
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee r ' ��-
Management Program.

DOLLY MACKVICK se-iss163 CC -- 0843
EUGENE MACI(VICK -- :. __ .... --
NCDL 8812919
30 PINE KNOLL TOWNES
PINE KNOLL SHORES, NC 28512 19 5
Pay To The
Order Of $
Fi r- L L- 14 /L
Dollars
WACHOM
Wachovia Bank of North Carolina, N.A.
Pier 6uoll Shores, NC 28557
Memo _1"1'(146 A 0 RCS, f Z- -/3q 3-C
1:0531015291: 5460 LLL844u1 14a13

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ADJACENT R'?ARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
C ,��'�.�o K C,) 's property
located at l O � P41o4 OS A on
13oc�U� Sv��,�n (Lot, Block, Road, etc.)
in l ��G. f 1�:NO �L r N.C.
J l,r0�. � S ,
(Water Body) (Town and/or County)
He has described co me as indicated below the development
1+e is proposing at t:.hat location and have no objections
to his proposal. I understand that a pier, pilings and
dredging must be set back a minumum distance of fifteen feet
(15') from my area � f riparian access i:nless waived by me.
I do not wilz to waive that sei:back requirement.
I do wish to. waive that setback requirement.
Description and/or drawing of proposed development:
(To be filled in by individual pro_)osing development.)
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ADJACENT RIPARIAN PROPERTY OW�',IER STATEMENT
n
A
I hereby certify that I own property adjacent to
0L!.IC 4,1A0 K 01ClC 's property
located at _9 0 ,� P/-7/ -4 03 A ir?, L(,}� on
ii
(Lot, Block, Road, etc.)
ICJ C� SO �'�1 �
A C/ (? CSS 0. iA A til til �r- L in 0,i4t-:- i-: N O /-L -S� /4-0/-,>. e5-7 S
N.C.
(Water Body) (Town and/or County)
He has described zo me as indicated below the development
he is proposing at that location and I have no objections
to his proposal. I understand that a pier, pilings and
dredging must be see back a minumum distance of fifteen feet
(15') from my area Of riparian access unless waived by me.
I do not wish to waive that setback requirement.
I do wish to waive that setbacV requirement.
Description and/or drawing of pLoposed development:
(To be filled in by individual proposing development.)
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Prin_ Name
Date
Phone Number