24412_LOWRY, MICHAEL_20000208

CAMA and DREDGE AND FILLJvf M
G E N E R A L N° 24412 —C-
P E R M I T
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 7 i t — 1 0 © O
Applicant Name 1141 i G h19 .o L0\1J Y.� Phone Number? 6- o
Address f{{ OO aj A0,2 /
City 1 _t1 State It- Zip a t 7
Project Location (County, State Road, Water Body, etc.)_ C(,s +',c Pt 4-t _e o /l
Sho��s S-ec V /o�� ti�i l ob l t ay Lf sult to n )300O
Type of Project Activity c v ti-e / el6,9, v✓ 54 �
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Boat ramp dimensions . ....
Other
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This permit is subject to compliance with this as pi. rawing
and attached general and specific conditions. Any violation o
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.
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issuing date
applicant's signature
permit officer's signature
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expiration date
/� tl-C 7H� l aoa
attachments
application fee
In

• ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER / UNCO VERED BOA T SIFT)
I hereby certify that I own property adjacent to kC t -Don rfr L—©�v is
(Name of Property Owner)
property located at Sec- , p-, C/, f-35 1 o c.lt /,%r f J o-�
(Lot,
Road, etc.)
on P� r,a, i�r o i 1 („f� ��, rw�, , in P �.e I� +� o / S k r v c N.C.
(Waterbody) (Town and/or County)
He/She has described to me, as shown below, the development he/she is proposing at
that location and I have no objections to his/her proposal.
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DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT;
(To befilled in by individual proposing development)
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Print or Type Naine
Telephone Number