HomeMy WebLinkAbout13070_FURTNER, LEN_19940518CAMA AND DREDGE AND FILL
GENERAL
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 / /_/ / /0 �'
Applicant Name
Address ? Ho,
FEf—, j -,,.v _l
Phone Number
Citye-) -r ., State �i ;` zip S �-
Project Location (CountyJ,,State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION
Pier (dock) length
SKETCH �� /J
,
(SCALE:
)
Groin length
i I
i
number
Bulkhead length
VPL4
ax. distance offshore
Basin, channel dimensions
I V.
I_
{
cubic yards
Boat ramp dimensions
Other±LY1
I
i
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.
applicant certifies by signing this permit that 1) this pro -
is consistent with the local land use plan and all local
o mantes, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
objections to the proposed work.
applicant's signature
L; permit officer's signature
issuing date
Sr -�
expiration date
attachments ,del C 7// / / o
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee 0,
Management Program.
KATHLEEN E. FURTNER
NCDL 8063258 PH 726-2796
119 HOLLY RD
PINE KNOLL SHORES, NC 28512
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. ADJACENT RIPARIAN PROPERTY (*MM STATEMENT
I 'hereby . certify that I, own property adj acent to
-�-PLQE ),el ,06 Is property: located at
Property., owner) _
(Lot, Block, Road, etc.) f.
on in NF,J J3 /1!G e , N. C.
(Water y)' .(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)
Print or Type Name
�o61
_ Telephone Number
Date
'1{ ..i; . � �.. �� ;'�t.�'r�' °� ... ,4op4.�o. •�rar•`.•y°. Y'. '�.�y;a :`��,':6`�4'°�t';+(,. ..�...,.: �t'., y r .�',x� .%W',i�`�' tM
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ADJACENT RIPARYAW PROPERTY UMER STATEMENT
I'hereb certify ------------
•
that I own.pXoperty adja6iti
T�
cated'at u s 0.
(Name ..of,- Property.• Owner)
(Lot,, Block,, Roadetc.
)
:..on
C&O
(Waterbbdy.(Town and/or ..County),
)
'He"has "described to :me, as sbownbelow,, the d6va opmen he is
proposing at'that ,*location, and; I have no,obJeptions.to'his
pr�opps.al..
---- ----------------- ---- --------- -------------- --------
DESCRIPTION AND/OR'DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual.proposing development)
DOW,
LlIk 7'2� �K�
Signature
Print or Type Name
• 7F
Telephone Number
Date
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