18676_TINGLY, HENRY & TINGLY, JUDY_19980709

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CAMA AND DREDGE AND FILL]
GENERAL t 8
676
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 (SCALE: )
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions T +•
cubic yards
Boat ramp dimensions
Other
M
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any �. f'_�� >.,
violation of these terms may subject the permittee to a fine, /
I applicant's signature
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.
issuing date
attachments
application fee
permit otticer's signature
expiration date

JUDITH G. TINGLEY
NCDL 1805442 PH 217-0383
2620 FORESTVILLE RD.
WAKE FOREST, NC 27587-2001
3 /-&Z/t)
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2186
_ 66-7704/2531
DATE
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Sewdty leaW ras II
cmaee. P
Delalle on beck.
Stat mployees' Credit Union
80n (x�nv�Raleigh, North Carolina
FOR v`� (��_ '_ nr
1:253L770491:0B6256537961I' 186

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 's
(Name of Propeity Owner)
property located at
(Lot, Block, Road, etc.)
on CAU;ek , in Ao)C7-be 4/,-'6/"J r/ 7` 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)
so/�no/�
S 40 inf% s
Print or Name
Telephone Numb
er
Date:

0 it "-V IL
I hereby certify that I own property adjacent to -Flf� 's
(Name of Property Owner)
property located at i �� S /% A,,/ SC./ Fj/C./ C- 1
(Lot, Block, Road, etc.)
on P GL 7 i €� C ,� , in 1716,� Ae6y C l �-, 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)
Signature
- -Mrw ( i!M, re
Print or Type Name
�, �- ;� - 7 2 t, q r�?
Telephone Number
Date:
5e pl-/v p)'U

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