7837_SMITH, JOHN_19901129

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CAMA AND DREDGE AND FILL
GENERAL
PERMIT
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C --7837
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 � ���ton
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Applicant Name JPhone Numbe it -
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Address t' S C�
City, %if'se_—p (�'G t
Project Location (Coun , State Road Water Body, etc.)
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Type of Project Activity
PROJECT DESCRIPTION
Pier (dock) length
SKETCH [
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t
L4
f
Groin length
number (�
Bulkhead length.—LJ�
max. distance offshore
xy&r
Basin, channel dimensions.
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.
State c"Zip
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applicant's signature
Lmit of icer's signature
/I(� /
issuing date expiration date
attachments _ �:12 / r - / /y D
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
application fee
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1 LUACI:111' 111111\1(IA1J "10111ITY 0 •'411 1 ,;1.M12411TI'
1 hereby certify that- I own property adjacent to �
's prol)orty located at ,�� •
1 �( lot, block, road, e,tc. )
Oil //1 �%e,4.• / itl
,� .,- N.C.
(Mnter body) (toaiv mid/or co nty)
lie has described to me as spawn below the development he is proposing at
that location and I have no objections to his proposal. I understand that
tl)is }bulkhead/structure must be set back a minimum distance of 15 feet
(circle one)
frun my area of riparian access unless waived by tile. I do do not wish to
(circle one)
waive that setback requirement.
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Un©criptlon and/or drnming of proponed developmenti (to he tilled
In by indlvidunl propooinq developmont)
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Siynature
Mane
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ALUAC1.N1' RIPARIAN 1'1101'1-Irly M411at STNI I-11:1-ri,
1 hereby certify tl►at- I own property adjacent to
's prope- ty located at
(lot, block, road, etc.)
oil .. i 4.�-!Gtlt� N.C.
(water body) (town and/or c unty)
lie 1►as described to me as shown below the development lie is proposing at
that location and I have no objections to his proposal. I w►derstand that
t1►is jftW l iead/structure must be set back a minimum distance of 15 feet
(circle one)
f run my area of riparian access w►less waived by me. I do do not wish to
waive that setback requirement. (circle one)
#A#AAARA*****AAA**AA**A***A*****A****A***AA********************A**********
Unacription and/or drnwing of proponed dovelopmenti (to he filled
in by Individual proposing development)
Fsopos�d �t/�: a t4 isifead
ARAAAAAkA**A#AR#R*ARA*#AA*AA****A*AAA*AA*AA*A#*******
� ✓ i '�-� Sign ure
le
Name
PI►one Nundxer
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