17090_TEMPLE, MICHAEL_19970517

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CAMA AND DREDGE AND FILL 01'749-6,
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 '
J
Applicant Name �','r Phone Number I1,7_
Address 4`�`?� A,.- r� ✓
City 1r:1P...1: ", ✓ n State A-'(- zip 9k%o
Project Location (County, State Road, Water Body, etc.) // //' /``� L/" v• �° i rdr_ .�
Type of Project Activity 'wn S77kr ` ILA �l ?u' ���., / nt J fQ �,► 2'
t/,-- r . r -,/ i i t/
PROJECT DESCRIPTION
Pier (dock) length
SKETCH (SCALE:
-
f f10Z __ +
L1
6_ is
/ ;� ' '� I l
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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.
`d
applicant's signature
permit officer's signature
/? �7
issuing date expiration date
attachments 74/'?G'J'
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
application fee

TEMPLE'S FARM
4995 HWY 101 447-8725, 447-4813
NEWPORT, NC 28570
PAY /
TO
THE
I ORDER OF
G
n WHEN HEL 11D . IF C RCULA
00
ii
FIRST CITIZENS 278
Fll,-Cip:ens a-, a T,.., Company
H"SlMk. N.C. 28532
25674
� Q%- 66-30/531
J 79J� 278
ARE NOT PRESENT. DD NOT CASH. BEE BgCK FOR ADDITIONAL gECURITrARS
MICHAEL, CARY OR ROCHELLE TEMPLE'S FARM TEMPLE
'Fnx� O/7090-c
i;0531003001:2782272624ils

I hereby certify that I own property adjacent to c 's
(Name of Propertf Owner)
property located at % e9gik'! // a
(Lot, Block, Road, etc.)
on ffdg lohzg-7 Cl�.►� / in --(' � 1Z i Fiz E , 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.
prop eSL (!
DOCK
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
71- il-v
/lAI?ION & CANAL
jfacit
Sa s�Z
AO
Signature
Print or Type Name
lei
Telephone Number
Date: Ll_' r _�;

I hereby certify that I own property adjacent to /c #g6- . F--/ is
(Name of Property Owner)
property located at h1 Y /o /
(Lot, Block, Road, etc.)
on ,/�A%10�� ��a / , in �,2 T�PET , 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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
Signature
Print or Type Name
i / i -- L%q% •- q ?1 2
Telephone Number
Date: e/ 2 9 -- Y 7