12187_HALL, JOSEPH JR._19940714

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CAMA AND DREDGE AND FILL
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GENERAL
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Corrim,isslon i "% 1
in an area of environmental concern. pursuant to 15 NCAC
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Applicant Name �._-� '' �/' '°"�
Phone Number,
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Address
City (r ? GOB State
Zip
Project Location, (County, State Rqad, W r B�y, etc.)
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Type of Project Activity :/r
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PROJECT DESCRIPTION
Pier (dock) Jepgth
SKETCH "
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(SCALE: )
1_�X_' • O of - -J '//f- r j r °' /
Groin length
number
Bulkheadlength'
distance
ax. offshore
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Basin, channel dimensions
cubic
yards
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Boat ramp dimensions
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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....
mit 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
ordinances, and 2) a written, statement.has been obtained from
adjacent riparian landowners certifying that they have no
_
objections to the proposed_ workattachments...._-�
In issuing this permit the State of North Carolina certifies that `
this project is consistent with the North Carolina Coastal application fee t
Management Program.
applicant's signature

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. . ...........
FAYE P. HALL
W1521531
2218
JOSEPH HALL, JR.
103 SALEM ST 726-4849
MOREHEAD CITY, NC 28557
19
PAY TO THE
ORDER OF
—DOLLARS
Wal ovia Bank of North Carolina, N.A.
Mureheud City, NC 28557
FOR
12
AMS3LOIS294 5460 I ? 0 8,42
2 1 a

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
I hereby certify that -I own property adjacent to
.JD�.q�,C. d� , 's property
Name
located at /G /'7, 0,446tt33 on
"(Lot, Block, Road, etc.)
i n C',o/�"� eCC , N . C .
(Water Body) (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. I understand that a pier must be set back a minimum
distance of fifteen feet (151) from my area of riparian access
unless waived by me.
I do not wish to waive that setback requirement.
I do wish to waive that setback requirement.
Description and/or drawing of proposed development: (To BE
FILLED IN BY INDIVIDUAL PROPOSING DEVELOPMENT)
gnature
2� ame
Phone Number

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
I hereby certify that -I own property adjacent to
l y4AlJ n • 's property
Name
located at /G,I�/g/y-�Zp qrl.aeK 33 ,S,��C/�N1 /¢1JF', on
(Lot, Block, Road, etc.)
V� ef45C/r in (',ak7"r9,r N.C.
(Water Body) - (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. I understand that a pier must be set back a mini um
distance of fifteen feet (15') from my area of riparian access
unless waived by me.
I do not wish to waive that setback requirement.
I do wish to waive that setback requirement.
Description and/or drawing of proposed development: (TO BE
FILLED IN BY INDMDUAL PROPOSING DEVEDOPFENT)
ture
n1f- o/
Name
Fhone Number

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