7850_PROUDFOOT, NOLAN_19901115

CAMA AND DREDGE AND FILL " `" 79 5 0
GENERAL 1�
PERMIT
as authorized by the State of North Carolina,
Department of Natural Resources and Community Development and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC f ' /i;
Applicant Name Phone Number
Address
City State Zip
Project Location (County, State Road, Water Body, etc.)
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Type of Project Activity 7
PROJECT DESCRIPTION I SKETCH
Pier (dock) length
Groin length �4
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
i
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.
(SCALE:
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2501
iapplicant's signature
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permit officer's signature
/issuing date expiration date
attachments ( C P
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee
Management Program.

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ADJACENT RIPARIAN PROPERTY CANER STATEW NT
I hereby certify that I own property adjacent to
-AA LAO Is property located at
;(Name of.Property Owner)
(Lot, Block, Road, etc.)
on /UFuJJe rti, in NOr4-,) /TJ ivJ 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.
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DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
1— i —a i .si A.— l I
Print or Type Name
Telephone Number
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ADJACENT RIPARIAN PROPERTY OWNER STAMENT
I hereby certify that I own property adjacent to
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lc�}fJ //2n u �l �a / ' s property located at
(Name of Property Owner)
(Lot, Block, Road, etc.)
on /V F—uJ/e %�c/%, in 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.
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DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
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Sin ure
Print or Type Name
Telephone Number
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