21508_HOLZ, PAXON_19990408

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
i
in an area of environmental concern pursuant to 15A NCAC
Applicant Name t-" Phone Number
Address T
c ,
City State Zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION
SKETCH
Pier (dock) length
Groin length
_. (_ 1
number
Bulkhead length
max. distance offshore
�
i
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. An Q
violation of these terms may subject the permittee to a fine, �'� `
imprisonment or civil action; and may cause the permit to be- c
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 i uing date
ordinances, and 2) a written statement has been obtained from y
adjacent riparian landowners certifying that they have no
objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee
Management Program.
applicant's signature
permit officer's signature

NOV-20-1998 11:53 FROM DCM MOREHEAD 919 247 3330 TO .5 c'"'b�
ADJACENT RIPARIAN PROPERTY OWNER STATkAI Wr
I hereby certify that I own property adjacent to _ PGA k o ✓ - 9r) (� _ is
(Name of Property Owner)
property located at- L o +s 6 4- 7 3 is c. k— Q. 6, !L/A
tLot, Block, Road, etc.)
on o n.o in (A Ca F �c rc �'� �� r �t r c � �o , , N.C.
aterbody) I ('.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 DRANVING OF PROPOSED DEVE.,0FINIT T
(To be , f Ed in by individual proposing development)
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Print or Type Name
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Telephone Number
Date:
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TOTAL P.01