18660_LEE, A.G. JR._19980407

O
Applicant Name
Address
City
CAMA AND DREDGE AND FILL SOP
GENERAL
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
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION I SKETCH
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
C,.
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.
State
Phone Number
y1u'r6� -c c\
r
f
attachments
Zip
(SCALE:
applicant's signature
�r1 Jam,
permit officer's signature
issuing date expiration date
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee
Management Program.

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ADJACENT PJEPARLAuN PROP MTY OWNER STATMIEN71
I hezeby certify
that I CIM property adjacent to
-uputy Cowne,:,)
(Name cr F�
property located at
("'oeg ]Rlock, toad, etc.)
on
in C.
(Town and/or Cowing�
He ;2,� as shown below, tLe development he IS P' that location,
and, I have ilu -h's proposal.
D
DRAWING OF PROPOSE'
led in by ihdividud� propGSing dev-,
Signatue
Print or Type Name
Tele-)',.one IN um er

WIN
I hereby certify that I own, proper cy adj, .nt to � _9s
(Name of Property Owner)
property located at
l� yy Mock, :Road, etc:)
own
1 (T and/or County)
He has described to rue.as.s ;c T b �.::„v, the, development he is proposing�.L fiAo Yv
and, I have no objections to k r'
DESCRIMOi' I OF PROPOSED DEVEIh 4 k% =
(7 o be I proposing development) T ,
�O. Bak z37�
cQIQ �vC 2 '71' 77 I
9�s
Print or Type Name
Telephone Number
Date: `_