HomeMy WebLinkAbout25693_KLOSE, ARTHUR_20000701CAMA and DREDGE AND FILL ,
�, K 0 3�?
G E N E R A L
PERMIT
as authorized by the State of North Carolina
Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC
Applicant Name
Address
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
State
Phone Number
zip
PROJECT DESCRIPTION SKETCH (SCALE:
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 become null and void.
This permit must be on the project site and accessible to the permit of-
ficer when the project is inspected for compliance. The applicant certi-
fies by signing this permit that 1) this project 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.
applicant's signature
permit officer's signature
issuing date expiration date
attachments
application fee
ADJACENT RIPARLAN
(FOR A Pt? ; s'STATNUENT
I hereby certify that I own dIr
Mxle of Pro �?
p Owner)
i.a�p�rty located at �U �- 13G -�'ty
oq _= ftte�rbod�y) _.. in _� �
+ a aad/or CoLay,)
He has descries
Kztion, and, I have no objections to y�.s ��, A , dopment he is ,proposing .'
auist be set back a � h lade0twid that a I4e,�/np�r.4vered
minimum distance off '{e_; �:i3' form u.,,y area of riparian accpas J °!
. - `waived by me. �
1 wish
, to 'b'.r�+'yG
I d2 wish to wail-ve
�.. r
DESCREMON
ANDf�I,", APO
(To be ,idle; l era by _ v &:sx a r vxparing developm&,W)
CLrJV&'
1-4 t or ,. -Name—L
f l a.-)Tl.�
JUL-05-00 WED 04:32 PM BELANGER 0 0 0 252 354 8090 P.01
ADJACENT WFAMAN
(FOR A P��r �. .
I hereby certify that I own pj-.)p"' •
(Name of i4�-rty Owner)
PrOPCIlY located at `t
on
i ��(• c.. �u�d
�y)S cs 11Y
r owLn aDdlor County)
He has d=ribed to me as -
�+cation, and, 1 have no objcctions to �;�s z .. the he is proposing a.;
r- g 1 C=t&nd that aOv%ulicover►ed
must be set back a minimum distance of from " am of riparian
waived by me. �. �, ek
dqq wish to wzjvc F + :'�� r', ;rqu'•stoif��
r SQ wish to waiae ZN;#,_ � ..._:` " •i�z :anew,
BESCRIFTIOiti ANDrOX DRI's 0! F PROPOSED DEVEW.PNIENT
.
(To be j llea' +n by fn_ VLI�u ,! r vpossng development)
L; 2-�J-
c C�rrcr��
4
C Cyr
Siparure
P c..Gt L tI rr� rlvy�
TWO L
Print or 1AX Name
A501�-- a !
Te1ephone�r�"-- �—
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