HomeMy WebLinkAbout19879_WOMACK, EDWARD_19980422CAMA AND DREDGE AND FILL
GENERAL +' n19879 u
PERMIT t- P-n �
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.) ��_ ?�"i f 2
Tyne 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
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.
(SCALE:
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issuing date
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Al
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appncanrs signature
permit officer's signature
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attachments
application fee r ! cs�-
expiration date
Tdward S. Womack 66-30t531
fo T—m—eff.—M—m—wl 696 8102
NCDL His 1455226 Hers 1455603
266 Landing Rd 919-729-1148 DATE
Beaufort, NC 28516
PAY TO THE �^ l
ORDER OF____ % s V• O v
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
Ihereby certify that I own property adjacent to:
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property located at:
near (water body)
In (county)
The applicant described to me as shown below, the development
he/she is proposing in that location and:
I have no objections to this proposal
I do have objections to this proposal
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Description and/or drawing of proposed development:
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I Name:
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Phone Number:
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I herebycertify that I own property adjacent to:
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property located at: YD % (— 4,144.Q1/1 Q /F,-.O
near (water body)
in (county)
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The applicant described to me as shown below, t,ie development
he/she is proposing in that location and:
I have no objections�I
to this proposal
I do have objections to this proposal
Description and/or drawing of proposed develooment:
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Signature
Name:
Phone Number:
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