HomeMy WebLinkAbout26183_LEDBETTER, JAMES_20000921CAMA and DREDGE AND FILLi$�
6,.t G E IN K AL
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 Phone Number
Address
City State
Project Location (County, State Road, Water Body, etc.)
Zip
Type of Project Activity _ L�at
P(2 P p
PROJECT DESCRIPTION SKETCH
Pier (dock) Length
(SCALE:
)
l
&S
AU
I�-
Groin Length
number
Bulkhead Length
max. distance offshore
t
-'
T
Basin, channel dimensions
%
r
cubic yards
Boat ramp dimensions
Other
t
f
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, 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.
1
applicant's signature
permit officer's signature
issuing date expiration date
attachments
application fee
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SERIAL NUMBER YEAR MONTH DAY
POST OFxICE NTS
U.S. DOLLARS AND CE PAY TO /\ CHECKWRITER, . �,�.
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O.D. NO. OR
EO FOR
NEGOTIABLE'ONLY �;,jj! U.S,,AN() POSSESSIONS
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ADJACENT RIPARIAN PROPERTY OWNER STATEDIENI
I hereby certify that I own property adjacent
(Name of Property OwLfr)
property located at A43 C'�S7-�/_
(Lot, Block, Road, etc.)
on �2 .. in �AQT�z�T �UcJn�
(Water'+t�4) (Town and/or Count-;('
_, N. C.
Re has desc i ioc.d to me as shown below, the development he is pro}� ;Si. ;:.;: 'r,�.i: Icy atiorj,
and, I have no o' ' <<�,� t ' ius proposal.
DES0,', E ND/OR DRAVVLNG OF PROPOSED
fv)?d in by individual proposing develop..
%'hvPvscc�
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Signature—.—..�
�cc- Tt� t '1�- O t-Aj e ir'
Paint or Type Name
Telephone Numbe:
Date: 3AL(_O�v
Q C)
. , ADJACENT RIPARIAN PROPERTY OWNER STATENLEN '
I hereby certify that I own property adjacent_!�� 1.�,��� '
s
(Name of Property Owner)
property located at 1-41-3 6z ,� -rA 1— Z?p,4
(Lot, Block, Road, etc.)
/%C .
on N.C.
in
(Waterbody) ,
(Town and/or County)
He has described to me as shown below, the developmd nt he is proposing at that location,
and, I have no objections to his proposal.
DESC`P.ILYHON AND/OR DRAWING OF PROPOSED D E'VTj .OP�'V'T
Rb be filled in by individual proposing developmeut)
NJZAJ c31L.K NZ-,
zo ` " Al&',13' L K144F?-D
Signature
Ti6�-W'l a s i � Y1 LT
Print or Type Name
Telephone Number
Date: / '/' — 'P'L-7)
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