10780_General Permit_19920529

CAMA AND DREDGE AND FILL<�� m
t GENERAL
PERMIT C° N,T9 480
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the as al Res u � Commission
in an area of environmental concern pursuant to 15 NCAC 7 f/40
Applicant Name S Phone Number 749 3 T W- 2
Address
City State A zip d �p
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Projeet Locatio Tur;oy, State RoV, Water Body, e 9
Ay
Type of Project Activity
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PROJECT DESCRIPTION SKETCH (SCALE: gyp)
Pier (dock) length
JL
Groin length • i /a^n i'4
number,,
Bulkhead length + (/ `�� ( — 1 ✓ .Zi,/ cry �'
max. distance offshore / 4, ; a- si- I J)
Basin, channel dimensions
l�---- --� ;�
` n / 2
cubic yards P'7
all
Boat ramp dimensions �' ) v%�/J�� ✓�
Other Sri
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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.
1 n ,
applicants signature
permit officer's signature
a9-9- ;)
issuing date} expiration date
attachments . A —; // �r� l � o 0
In issuing this permit the State of North Carolina certifies that O
this project is consistent with the North Carolina Coastal application fei r7d I
Management Program.

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
1 ), Is property located at
Name of Property Owner
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(Lot, Block, Road, etc.)
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on �CISfi A li in �� rS s QN Q/� eN.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.
ii WING OVED
(To be filled in by individual proposing deve:
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Prinme
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Telephone Number

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify at I own property adjacent to
1 * 's property located at
(Nam of Pr pert er) _
( L'bt , Block, Road,, etc.)
on in , N.C.
(Waterbody) Town an rI Cwt ) *w
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 ROPOSED DEVELOPMENT:
ed in by individq, l . propo�g--de-fA� o�amenit )
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