23159_BRAVSHAW, DICK_19990804

CAMA AND DREDGE AND FILL (Pc -of
GENERAL N0 23159
PERMITN'`:
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 15A NCAC
Applicant Name yIT`u' Phone Number
Address
City State Zip
Project Location (County, State Road, Water Body, etc.) r
i?i Y tJ�t�l
Type of Project Activity
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PROJECT DESCRIPTION
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
SKETCH " -
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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.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
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Japplicant's signature
permit officer's signature
issuing date, expiration date
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attachments
CIO, (c�'
application fee

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Pay to tfi $ 16
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�TACHOVIA
Wach.A. Bank, N.A.
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O NAnLAND CLASSIC

ADJACENT RIPARIAN PROPER1y Otis-�ER STATEMENT
I he, eby certify that I own property adiacent to s
('Name of Property Owner)
property located at
(Lot, Bloch, R6ad, etc.
on SrK x r*J C , in N.C.
(Waterbody) (Town and/or County)
He has described to me as shown below, the development l;e is proposing at that location;
and. I have no objections to his proposal.
DESCRIPTION AND/OR DRAW-E iG OF PROPOSED Dl;�``ELOPINIF� '
(To be filled in by individual proposing developreV), pI
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Signature
Print or Type N:rne
Telephone "�;�
Date: 13 9 _

ADJACENT RE'ARUN PROPERTY OWN -ER STATEi EFNT
I he; eby certify that I own property adjacent to Dic-9 � KA y5 A AUJ 's
Name of Property Owner)
property locat d at
(Lot, Block, Rbad, etc.)
on Sm 1 r*s W , in D jL,�,
Et.�f A . 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 D&AWTtiG OF PROPOSED D&ELOPINDi t`T
(To be filled in by individual proposing developnrZU1,pI
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