10788_General Permit_19920610

CAMA AND DREDGE AND FILL
GENERAL
PERMIT
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 15 NCAC -7 f / - / V pncl / -;-O K7
Applicant Na
Address ,��
City . �j
-
Pr(�pp//.je t Locatio (County, S
�vtt9
TLype of P oje ct Activity
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I olY /_Yle Sri
PROJECT DESCRIPTION
Pier (dock) length V � %/ 5-
T � y ',, ,c ' 4,
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
Phone Number ) a3- ; 9 111
tate /" Zip o
Road, Water Body, etc.)
SKETCH '— w �7 4ell
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.
,4 Ao,
(SCALE:r, )
applicant's signature
permit officer's signature
issuing date expiration date
attachments ,4� � / ?�)
In issuing this permit the State of North Carolina certifies that I I
this project is consistent with the North Carolina Coastal application fee-_ C•�
Management Program.

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
Co r-6c -f- * ' s property located at
(Name of Property Owner)
S fCr 4y a F' D�:s y Sa•�a�Pi-S K�o.�c c AJ s
7 7, .y 9 (Lot, Blobk, Road, etc.)
on Cr c c- K- , 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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
03 . 35 Z. I P6 . Z07
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Print or Type Name
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Telephone Number

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
�wc?re4 Gor,bc- 's property located at
(Name of Property Owner)
,407` 1-15 �P lfr-�'le, ;s, 5•7 o c
-40 6061G -7 ��t (Lot, Blolck, Road, etc.)
on 4005t rcc.in r'c 7�L C0c,- -j 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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
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06 35Z P6
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Ay
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D6- 319 P6. qt,
14
SigAature
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Print or Type Name
2-z3-'/�'
Telephone Number