18675_MONCOURTOIS, CHRIS_19980902

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CAMA AND DREDGE AND FILL
GENERAL c 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 -,
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
(SCALE:
+..t ��,...;. 1.
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, f� applicant's signature
imprisonment or civil action; and may cause the permit to be- j 1
come null and void.
This permit must be on the project site and accessible to the permit officer's signature
permit officer when the project is inspected for compliance.
The applicant certes 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
attachments
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 application fee
Management Program.
issuing date
expiration date

ass - a 5D
MICR-25-96 16.49 FROM, 1D.19197292092 PAGE
ADJACENT RWARMN PROPEWrY OWNM STXrEMENT
I hereby certify that I own property adjacent to Q��AAj C par /C 1 S 's
(Name of Property Owner)
property located at ji ; T O A 7Zh/ FFS,-'5 rcf I /A
�, ,�y �, (I,ot, Block, Road, etc.)
on (�!% �'-Et1��JL�lsr+ in C ki Tifk 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_
DFSCRJ.MON AND/OR IRA V NG OF PROPOSED DEVELOPMENT
(To be Pled in by individual proposing development)
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7 5
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�c% h Te__ t
o4K Ve. /0'
AN
)7ri t or Type Name
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Telephone Number

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MICR-25-SG 16,49 FROM: 1D.19197262092 PAGF
ADJAOEN'T RIPARIAN PROPEWFY OVi SM STA'
I hereby certify that I own property adjacent to .CAQi.�—A,j C ear-%d nc 's
(Name of Property Owner)
property located at �� i % 0A —Z Iy is Y SOI, y5 7—e I 1A
n (I,ot, Block, Road, etc.)
on (,{% e Q�� �% JL�, in ,¢64,7(f N.C.
(Waterbody) (Town and/or County)
He has described to me as shown below, the development he is proposing at that location,
and, 1 have no objections to his proposal.
DESCRIMON AND/OR DRANVU4G OF PROPOSED DEVELOPMENT
TI'
(To be filled in by individual proposing development)
Signature
Print or Type Name
N0
C�
Telephone Number