10868_General Permit_19920820

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. C�ANAA AND DREDGE AND FILL
GENERAL
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resoures C ission
in an area of environmental concern pursuant to 15 NCAC 7 /1
Applicant N
Addr7�t
City
Project Loca
a . �,
/3'j,c.rc;.z, Phone Number L/
/3 9 s 3 f+
on (Coupty, State Road, Waier Body, etc.)'?
"JI
Type of Project Activity tP I
PROJECT DESCRIPTION
Pier (dock) length
Groin length
number
Bulkhead length
5,01
max. distance offshore
i
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
State "4'• r 4 `n Zip d %
SKETCH w 19T+ (SCALE: )
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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.
r_.
/ ap p l7CM7"srgn atu re
permit officer's signature
Y_ a(,-7) 11-;6-9,A
issuing date expiration date
attachments /1Z C A C 7
In issuing this permit the State of North Carolina certifies that 9 '7 /—ay 6
this project is consistent with the North Carolina Coastal application feer
Management Program.

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45231869992 920812 285570 * * 5 0 *
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PAY TO U. S. DOLLARS AND CE
CHECK W RITER
ADDRV. ,�"IPRINT AREA J A ~
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0. Box 769 FRD _14
Morehead Ci t N
CO- N. GP _ d �`
USED FOR Baldwin Ann
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
Is property located at
(Name of Property Owner)
C:K, KOdQ, emu.)
on , in r, N.C.
(Waterbody) V (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 DEVELOPMENT:
(To be filled in by individual propo ing development)
i
i
Sig�nt ure
Print or Type Name
1;? 1-47--G 7 L11 /
Telephone Number

1 6 7 7
6 T E L I--�o -'. ,4 H u. 13 19,92 11 : 16 F . 0 1
A D vv i A L
RETREAD —f A Subeld) Pho". 210-3M-3wl F= 216--335-84W
TO, David EaLl±y
COMPANY:
FROM- David black
DATE: Aua 19 - 1992
PAGES INCL. THIS PAGE:
FAX Y#: -
MANUFACTURERS OF -
PRECISION RETREAD MOLDS FOR
PRECURE AND CONVENTIONAL CURE.
PLEASE CALL 216-336-3531 IF THERE ARE ANY PROBLEMS WITH THIS FAX -
ADMIRAL FAX: [phone]
Auiwst 19, 1992
lo Whom I t. i�lay Gonc-
-n:
1, David black, owner of the property at/op Cedar Road, do not
object to, bins. Ant) l3alldwiri, at 119 Cedar Road, refacing her bulkhead,
David M. Hack

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