10897_General Permit_19920922

CAMA AND DREDGE AND FILL -�
GENERAL •` '4 �� r
PERMIT , !*T' 10897
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coas al Resources Commission
in an area of environmental concern pursuant to 15 NCAC
Applicant Name / /2
Address
City
Pje t Location (County, State Road Water Body, e c.)
Type of Project Activity
Phone Number)>_ d 2 S - (
State /G' - < zip
PRO) ECTDESCRIPTION SKETCH Gfi S i=�� (SCALE:
Pier (dock) length
Groin length
number
Bulkhead lengths
....,. ./r
max. distance offshore '�
t
Basin, channel dimensions
cubic yards /
Boat ramp dimensions
v
Others �S L
�, • ,. ,..eve-r1
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.
applicant's signature
permit officer's signature
J j
issuing date expiration date
attachments '�` (' 7/-/ / 7 o )
In issuing this permit the State of North Carolina certifies that -�r
this project is consistent with the North Carolina Coastal application fee Cd' �� '� �!
Management Program.

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
e"2 +- a fy s "C--e oe V, rs- ' s property located at
(Name of Property Owner)
Lo+ 21 7�v i ew
(Lot, Block, Road, etc.)
on (— , in J °'�w Corr_f- Ca.2f e'- , N. C.
(Waterbody) (Town and/or County)
IT
He has described to me, as shown below, the development he is
proposing at that location, and, I have no objections to his
proposal.
Resv%B u e- a 1'P 261 ►� z �- ._ �s. C u 6 o L .� .L S a) rJ J Ttm 1., m a" c en
--- ___ ______— ----------------------
Va v a.-% ih e CL V C- k o�_ eo. e -P L a+ u :z ( Co` 5
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
Signature
Print or Type Name
'�-y 71 �?, 1 s �'J L.� '",
Telephone Number
d

�e
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
� eV2- � a W s "C- e oc, le o- rz- Is property located at
Name
L6+ ' 2t
3f Property.Owner)
SEu:-r-GLv I Ew Pj`
(Lot, Block, Road, etc.
on (, iv - L— , in. A)e' C o =t' (20. 2f e ✓Z -f- , N.C.
(Waterbody) (Town and/or County)
I
He has described to me, as shown below, the development he is
proposing at that location, and, I have no objections to his
proposal. c 'I
Rexa 2D 1� z 3 c--6 cc '� cLS a ` e Rco: mo_.4ErzI a-
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o i u ( C4 s S ko ,�, .� 6 L l n L")
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
A�
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It�t>>.I,d
�ignatuie'
L1z
Print or Type Name
Telephone Number

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