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GENERAL `. -048664
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
AArf, «
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
State
Phone Number
Zip
PROJECT DESCRIPTION
SKETCH
(SCALE: )
Pier (dock) length
,Y ��.•.
f
•'
Groin length
number
Bulkhead length
� 1
max. distance offshore
Bas;n, channel dimensions
xo
cubic yards
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
attachments
application fee
permit officer's signature
issuing date expiration date
ADJACENT RIEPARLAN PROPERTY OWNER STATEMWENT
I hereby certify that I own property adjacent to )G 0_ , r is
(Name of Property Owner)
property located at J U I- K;',v c �e"J
(Lot, Block, Road, etc.)
on ���,�� t in A -lac_ Rea GL , 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 DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
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Signature
Print or Type Name
Telephone Number
Date: 1 Gg
ADJACENT RIPARIAN PROPERTY OV*7*4ER STATEMENT
I hereby certify that I own property adjacent to KO'le-- " "i ,s
(Name of Property Owner)
property located at 5 o Z V l lV s�- �J /4 -
(Lot, Block, Road, etc.)
on C R nJ j , in /1100�1 c 40-e-� , 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 DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
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Signature
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Print or Type Name
91? 3�,2 6 � /B
Telephone Number
Date:
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ROY L. OR JUDY A. HOWELL 66-7549 192 l
LIC. 2123243 LIC. 2348976 2531
3116 GREEN LEVEL RD., W. 362-7636 '
APEX, NC 27502 ` C 19 /{t
PAY TO THE
DOLLARS
f
Co tal Federal Credit Union :L
P.O. BOX 58429, RALEIGH, NC 27658
MEMO 6># D/R�.f'f�
1:253.175494i:0004457 2 20085 II' 1927
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