21117_JONES, CARL_19981117

CAMA AND DREDGE AND FILL
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
Applicant Name Phone Number � t
Arlclrpcc
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City State zip
Project Location (County, State Road, Water Body, etc.) " C''-=lt
y
Type of Project Activity I_v
PROJECT DESCRIPTION SKETCH f)C_. -;1 �� (SCALE: )
Pier (dock) length
Groin length_ I ( _
number
Bulkhead length
t
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
° r'' 4
3 r�-
{ I
i
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.
attachments
application fee
111
A)c
applicant's signature
permit officer's signature
issuing date expiration date

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CLASSIC

ADJACENT RIPARIAN, PROPERTY OWNER STATEVIENT
2
I hereby certify that I own property adjacent to _A�L. 5)l3C 's
(IName of Property Owner)
property located at
(Lot, Block, Road, -
on , i� _'n� N.C.
(Waterbody) (Town anC/or County)
He has described to me as shown below, the development he is proposil-ig at that location,
and, I have no objections to his proposal.
DESC=ON A1NTWOR DRAWDIl G OF PROPOSED DEVELOPbiEN-T
(To be filled in by individual proposing development)
?Roposc iD
R.xP 0P
?� PRslL
y�L
ignature
rL 0 S P t��,410_ .
Print or Ty e Na_me
Telephone Number
Date_ ---, 7

ADJACENT RIPARLA.N PROPERTY OR ER STATEMENT
I hereby certify that I own property adjacent to R L s
(I'ame of Property Owner)
property located at -2,. - ,
(Lot, Block, Road, etc.)
on , in �`�,//l'a [�oz/ , N.C.
(Waterbody) (Town and/or County)
He has described to me as shown below, the development he is proposil-ig at that location,
and; I have no objections to his proposal.
DESCRIPTION AI TD/OR DRANVNG OF PROPOSED DEN'ELOPNMN-T
(To be filled in by individual proposing development)
pto Po%6
---ram--
Signature
T
Pant' or T/ypeWN
Telephone Number
Date: —1/ -/L-/