21171_MCCUE, THOMAS_19990209

IF
CAMA AND DREDGE AND FILL Pgal
GENERAL M° 021171 - c"
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
Address
City State r Zip
Project Location (County, State Road, Water Body, etc.'77
Type of Project Activity
PROJECT DESCRIPTION
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
SKETCH
E VU
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.
(SCALE:
-12 k _)E ,)
applicant's signature
J,
permit officer's signature
issuing date expiration clate
attachments
In issuing this permit the State of North Carolina certifies that -� , r C: • l.� �'](�[
this project is consistent with the North Carolina Coastal application fee
Management Program.

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ADJACENT' -
JACENT RIPARIAN PROPERTY OW N -ER STATENWNr
I hereby certify that I own property adjacent to V/ 0 rN Ct 5 F A , C c,— , "
(Name of Property Owner)
property located at Z e? f #S5'? � 13 c-,- y s
(Lot, Block, Road, etc.)
on /3"V I�Ivtr ,in e r, r
�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.
DESCPJPnON AND/OR DRAW -LNG OF PROPOSED DEVELOPI'VIEN-T
(To he filled in by individual proposing development)
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Signatrre
Print or Type Name
Telephone Number
Date: / � —; �

ADJACENT RIPARIAN PROPERTY OWNER STATENMI'
I hereby certify that I own property adjacent to 1 A U in u- S F AI C (ccrs
(Name of Property Owner)
property located at a-f 4,S S /( %T l a
(Lot, Block, Road, etc.)
on /� 11 1.0 -e r , in 1' I e r rt tt � � s- L--> , 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 DEVELOPIVIENT
(To be filled in by individual proposing development)
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Signature /-5
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rint or Type Name
_ (,2s2 ) 7Ys"- 1/0 `72
Telephone Number
Date: "1-Z IF q

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