21519_FORD, TERESA_19990326

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CAMA AND DREDGE AND FILL ��.9�
GENERAL 921
PERMIT � �C� /Q
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
Address
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
State
Phone Number
Zip
r.
PROJECT DESCRIPTION
SKETCH -1�_ r,^ ; �'-,,, �_ i
(SCALE:
Pier (dock) length
i
Groin length
g
T
number
Bulkhead length
/t
y !; �. ..; J
max. distance offshore
L
Basin, channel dimensions
cubic yards
1r
i 4
Boat ramp dimensions
Other
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.
j applicant's signature
permit officer's signature
issuing date expiration date
attachments
application fee

THERESA PAGE FORD
DL 673578 PH 393-8785
259 PEARSON CIRCLE
NEWPORT, NC 28570
% 4588
04/2531
DATE �
$ 50 c-')o
State Emifl"oy es' Credit Union
62 Morehead City, North Carolina
FORt}L��,CI
1:2S3 L770L.91:0860S L6L,4SOIII 4588

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I V- m �0--- H 4 cuA-r-rf x- i
14P�T-pkLINI
I c own the property adjacent to 259 Pearson Circle
and do not object to the proposed pier to be placed at the property of Robbie
Lewis and Theresa Ford at 259 Pearson Circle, Newport, NC 28570. I have noted
the placement and size of the pier (4 ft x 100 ft with 4 ft x 20 ft "T") as
drawn.
Signature:,` i
Date:

Z't m4W
4 I G k w AkTT k L I NA
own the property adjacent to 259 Pearson Circle
and do not object to the proposed pier to be placed at the property of Robbie
Lewis and Theresa Ford at 259 Pearson Circle, Newport, NC 28570. I have noted
the placement and size of the pier (4 ft x 100 ft with 4 ft x 20 ft "T") as
drawn.
Signature:
Date: