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17027_ENGEMAN, JOHN_19970325
f CAMA AND DREDGE AND FILL GENERAL < 017027 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 _. Enif-"V"`' Applicant Name J Phone Number Address City State Project Location (County, State Road, Water Body, etc.) Type of Project Activity Zip PROJECT DESCRIPTION SKETCH (SCALE: Pier (dock) length Groin length number r- I _- Bulkhead length max. distance offshore �=--•-"`---- /�� ,y<r-, Basin, channel dimensions cubic yards Boat ramp dimensions Other This permit is subject to compliance with this application, site drawing and attached and specific conditions. Any general violation of these terms may subject the permittee to a fine, applicant's signature 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's signature permit officer when the project is inspected for compliance. The applicant certifies by signing this permit that 1) this pro- 2 .5 - j'7 �� I V �% 7 ject is consistent with the local land use plan and all local issuing date expiration date ordinances, and 2) a written statement has been obtained from adjacent riparian landowners certifying that they have no objections to the proposed work. attachments In issuing this permit the State of North Carolina certifies that S6d2/Ud 26J this project is consistent with the North Carolina Coastal application fee Management Program. -, :,UNITED b5602108.c PAY TO PII, , s p 0 Srkl,, ,,NIO:NTEY ORDER 03 91. COD NO. OR j:00000EJ,00 21: POST OFFICE U. S. DOLLA- CHECKWRITER IMPRINT AREA FROM NEGOTIABLE ONLY IN 6 S GO 2 1013 20 3115 -c, a da ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to r 's (Name of Property Owner) property located at 4Wc N o e, IAIA y (Lot, Block, Road, etc.) on %SL A WP L- R K� , in k%P✓ ,e,6r,eAJ 1,�--'k,4 ✓Ei✓ , 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. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (To be filled in by individual proposing development) V. / `f V I! - � - gnatureV Print or Type Name 9/ J 6,3 S, s--�4 7,1, Telephone Number Date: \ 6 f � o� `t 7 ' ADJACENT RIPARIAN PRO,'ERTY OWNER STATEMENT I hereby certify that I own property adjacent to 's (Name of Property Owner) property located at 1-4Wcf ( ©,C (Lot, Block, etc.) on /SZ-1q AJ'D I —A k"E in 9FR"I ��',4 V'5iI , N. C. (Waterbody) (Town andlorCounty) 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) _ <' sa .q Signature gr/sv S ���52 Print or Type Name I)9 43(, S3o� Telephone Number Date: ���'''