19992_FOLK, ED_19980730

7`Y1�s"E''1P�'
CAMA AND DREDGE AND FILL
GENERAL cd�
PERMIT �, 7-c
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 r' 1
_ 1 ? r`
Applicant Name'' �' Phone Number.
Address
City I %�? 2- i f` ; All State zip
Project Location (County, State Road, Water Body, etc `s
Type of,Project Activity Py
f
PROJECT DESCRIPTION SKETCH ..� , " " (SCALE: ?' )
Pier (dock) length � � �
Groin length f y
number'I
Bulkhead length y 4 �» r r f �l
max. distance offshore ;
Basin, channel dimensions
cubic yards
S
Boat ramp dimensions
Other
'X t '
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.
issuing date
attachments
,ems` J
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.

ADJACENT Rr-PARIAN PROPERTY OWNER STATEMTNI
I hereby certify that I own property adjacent to � '-FOLK ,s
(Name of Property Owner)
property located at 36 Ok 54612F C j N F- —1�fZ
(Lot, Block, Road, etc.)
on -5Ot4 MD > in &T�"Pe- is c 14 , 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)
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Signature
R-e:�VPOGPX
Print or Type Name
Telephone Number
Date:

8o&-- 3a?y

I hereby certify that I own property adjacent to EL) `4p CK 's
(Name of Property Owner)
property located at
(Lot, Block, Road, etc.)
on � SOIL D in ft-F04PT-1 C- ac-14 , 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)
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P C P�
ig a
Lf- Xa4 4� ' POE
Print or Type Name
�.
Telephone Number
Date: