23228_PAMLICO PACKING_19990922

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CAMA AND DREDGE AND FILL
GENERAL .1 �r;d 2322$ --
PERM I T
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 i�'as�,c ,c t"ar. -n Phone Number
Address"'
City iiState Zip
Project Location (County, State Road, Water Body, etc.)
Nj
Type of Project Activity
LA cv�cy
PROJECT DESCRIPTION SKETCH !"-- - __..-- - �p1:�?,✓ , (SCALE:
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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.
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issuing date
attachments
application fee
cant's signature
permit officer's signature
expiration date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
��I hereby certify that I own property adjacent to C-o. 's
(game of Property ner)
property located at IV— 5'
Block, RoA, etc.)
on , in VA 4 je, j gAq N1 N.C.
(Waterbody) (Town and/or County)
He has described to me as shown below, the development he is proposing at th,:t location,
and, I have no objections to his proposal.
ESCRIPTION AND/OR DRAWING OF' PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
3,AC, 2,,I)e- a-
R
� F �UT �.
u
Si;;nature
sa d N G L I B
nl' Print r Type Name
Telephone Number
N Date:
29—

I
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to C-o. 's
( aine of Property ner)
property located at
(Vot, Block, RoA, etc.)
on , in VA fj d_Mpgo n� , N.C.
(Waterbody) (Town and/or County)
He has described to me as shown below, the de-velopment he is proposing at th;a location,
and, I have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OI,PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
sold 1 r
t o''
! D I
•29—
Si nat�re O
Pi int or Type Name
Telephone Number
Date: