HomeMy WebLinkAbout21510_HENDERSON, BENNIE_19990413CAMA AND DREDGE AND FILL
GENERAL 0? 51®`C`_. ,
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 15A NCAC
Applicant Name
Phone Number
Address
City
State
Zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION
SKETCH
(SCALE: )
Pier (dock) length
Groin length
number
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t1
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Bulkhead length
1
�M
(
)
max. distance offshore
Basin, channel dimensions
cubic yards
!!'
r}
Boat ramp dimensions
Other-
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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.
attachments
application fee
applicant's signature
permit officer's signature
issuing date expiration date
Ronnie L. Henderson 66-30/531 1445
1615 Lejeune Blvd, 076
jacksonville, NC 28546
DATE !�
PAY TO THE
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u L0 k f r: Micro Print gnature line. gray type and lincwork. First Citizens Bai logo on back If not present. do not cash.
IYR.ST CITIZENS 076
-BANKFirstLRizens Bank & Trust Compeny�r
ec onizHip,ens N.C. & Trust
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FOR _
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RONNIE L. HENDERSON ---- DOCK LAYOUT y
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XDJACENT RIPARIAN PRIOPP-RM! -YWNM I',T%TMW-%ZT
1 herebY -Iert°.fy that I cwn p�opexty- adacent to
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(Name of Property Owner)
irn_ t z- i 0C
on
(Watiiibo, ,—yj'
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15 pr'operty 2ocated at
k., Roadr
N. C.
wild/or county)
Ne has described rme, as Lih-vwrj. lhelcw, th- development he is
pr6posinq at that lncatLon, and, 1 have n,:,) cbjectjons to his
proposal. i-
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(TO development)
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A-r)j;',C.-VNT "IPAPIAN Pr%OPj—:.IATY CMMv,,'R STATEM-Mr
r,: Lf that I own i�,ropervv Adjacent- to
S zropert-.v at
Tne cf
W-cick, Road,
courity)
L-,a% C < .L�
prcposal
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nd development)
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"Crtnt or TYpe Name