17065_ALLEN, MICHAEL W_19970516

CAMA AND DREDGE AND FILL
GENERAL
PERMIT
as authorized by the State of North Carolina
5 Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC 627L IL
Applicant Name %f frr;lll l4)�• %�/�''/ Phone Number)
Address
City %'� • State U� _ ffZip ff ' % i
Project Location (County, State Road, W ter Body, etc.) T F'"k�' aJ�
Type of Project Activity
PROJECT DESCRIPTION SKETCH (SCALE:h�� )
Pier (dock) length # rl�fr / Pl�f� S`
J � �
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.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
t>
it r f
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applicant's signature
permit officer's signature
issuing date expiration date
attachments � 7 W. /14'
application fee �� f 3 3

°�
M�GIiAEL W.- OR SUZANNE T: ALLEN
;) [phone]
' k 972 CHARINGTON COURT
h "'PICKERINGTON, OH 43147
PAY TO THE 11�'4i N
ORDER OFF,
166
MEMO
67P A 0176CC c
11100 6 3 3 9110
6339
NATIONWIDE FEDERAL CREDIT UNIONS�j `�T1
COLUMBUS, OHIO 43216
25-7763-2440l.:
0
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0
DOLLARS
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1:241,0776371: 90731, 200L,91I■

APR 16 '97 11:23AM CENTURY 21 COASTLAND REALTY
P. 1
MAR-2S-SS 16t49 FROM! ID=191972e2092 FACE
ADJACF. a RIPARIAN FROPMTY 0%7" STATENEW
I hereby certify that I own property adjacent to / O` 4EL
(Name of Property Owner)
lr0Pty loaatcd at C 40 &137-Cfi—
(I.ot, Block, Road, etc.)
on ( )A'T c - & 'Jep -- , in T - - , N.C.
(Waterbody) ('Town and/orCounty)
He has described to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
-�rr�rr�rrrr..�i.l�r �•� Y�r.i..^�r��.a.�N.��•ra�r�
DF.SCRIMON AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by f avldu d pmosing development)
� a/t-u-, /-, L"L, tuq--�-L ?�� aj-� ( A- t L-,)
Signaturc
L'Ll'�JE
Print ortype Name
Teleahane Number

APR 16 '97 11:23AN CENTURY 21 COASTLAND REALTY
P.1
MAR-25-96 1 B t 49 FROM I D: 151972e2092 PACE
ADJACENT RWARMN PROPMTY OV"Q R STAMUNT
I hereby certify that I own property adjacent to ���' LuJ- Aft -Js
(Name of Property Owner)
promV located at 61W q��7-6PL & . lLEED--br-K- � -d33- ,
(Lot, Block, Road, etc.)
on k'-rOAK— i�; J , in ` 04u , N.C.
(Waterbody) ('Town and/or Co nty)
He has described to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
DFSCRUMON AND/OR DRAWING OF PROPOSED DEVFJ OPMENT
(To be , jJkd in by k1d vfdud proposing development)
L4z 7Z9
Signature
(2)-yD /'Q'tsE
Print or Type Name
Telephone Nufnhpr