19913_DRIVER, PHILLIP_19980522

CAMA AND DREDGE AND FILL (,o
GENERAL N f r`.
E P RMIT
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 ✓1 Zip
PROJECT DESCRIPTION SKETCH" (� �J %' (SCALE:' )
Pier (dock) length
Groin length
number
Bulkhead length
=1
max. distance offshore
Basin, channel dimensions
cubic yards - r
Boat ramp dimensions !(1�` _'e' n %4-
Other J J
c
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.
applicant's signature
;i
r� permit officer's signature
f 7 1 {�
issuing date
attachments
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.

MRW • DRIVER AND
PNILLIP
MR-S. RUBY P DRIVER
DL 1374116 DL 26605870327
6767 US 301 S V O 239
LUGAMA, NC 27851
to the
of , , r
� Order o
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gg-5931531
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I hereby certify that I own property adjacent to ff/��//a�,J. �-e lel' 2y Z,plyi A
(Name of Property Owner)
property located at
(Lot, BIock, Road, etc.)
on t /i��T�� O/ik P/ 114,1Z , in C�lc'i /, T �v. , 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
3 9J - -FoJ 7
Telephone Number
Date: /�q

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Azl,4_110 tiJ ,/.��/fY vanes
(Name of Property Owner)
property located at i 57
(Lot, Block, Road, etc.)
on e"I'e , in C-- ,� ,c= �'U , 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)
�e� (--) K "'�
Signature
:e,-, n L K P�iv,J
Print or Type Name
�i►9�3�3-�Gby
U.5�3 fly
Telephone Number
Date: S - a 1-�

G��•c % �D, ter/ C,
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