18634_MURRAY, TIM_19980512

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CAMA AND DREDGE AND FI L ;,
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
Applicant Name
Address ` , 17 ..0 ,4',-,ac.,
City > isa-Y State.
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity -4 /
PROJECT DESCRIPTION I SKETCH
Pier (dock) length
Groin length
number _.
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
I Other
p4.
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.
Phone Number
Zip
(SCALE:L��
A
,
Tiapplicant's signature
permit officer's signature
_�571_/?- 9,p
issuing date
attachments 6 7'/' f--'"
expiration date
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
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application fee �-c

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APR-03-98 FRI 01 :01 PM COOPER 213 876 8611ADJACENT
„_,•„,„_,_,-, �-P, 0^ 1
ARIAN PROPERTY OWNER STA 91` -r
WR A PIER?I NVGPYERgD.8aAT LIFT}
I hereby certify that I gwn PrOPerty ad accnt to _ �
j
(Nine of Property Owner)
property located at
(Lot, )Black, Road, etc.)
/ -
on —� �— in f..., `, I
(Waterbvdy) (Town andloc,County)
14e- has described to me, as shown below, the development he :s proposing at that
location, and, I have no objection$ to his propQW. I understand that a Pie,-/UncovereA boat lift
must be set back a minimum dismncz of fifteen feet (iS') from my area of riparian access unless
waived by .me.
— r not wish to w2ive the F ,sc,back requirement.
112 wish to waive that setback requirement.
- - -
DESCRIi ON AND/OR DRA,Wrir, OF pRopoSEI1 la vrET1C?Ph 'V'z: .-.----
(To be ftUed in by Individual proposzng development)
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To' NldA :FO 866T Ze -'IdLl
Signature
IV-
Pnnt or" l y^, e Name
Telephone Number
1' 7,
Date:
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