12032_KIMBALL, WILLIAM_19931025

CAMA AND DREDGE AND FILL
r GENERAL N°•�'`�
PERMIT �
as authorized by the State of North Carolina V
Department of Environment, Health, and Natural Resources and the CoastaI Resources Commission
in an area of environmental concern pursuant to 15 NCAC
Applicant Name ` O ` % Phone Number
Address } '
City HState Zip k
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION SKETCH (SCALE: )
Pier (dock) length`
Groin length j
number
Bulkhead length
-rr}ax. distance offshore
S
Basin, channel dimensions j I
4
cubic yards
Boat ramp dimensions
-A
_ 1
Other
_�_
i
II
I
jj
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.
The applicant certifies by signing this permit that 1) this pro-
ject 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.
issuing date
attachments
applicant's signature
permit officer's signature
application fee � ��
expiration date

THIS CHECK IS IN PAYMENT OF THE FOLLOWING
ANITA ANCARANA KIMBALL
W. G. KIMBALL
PH. [phone]
ST. RT. BOX 518, ISLAND RD.
H`A/RKERSS ISLAND, NORTH CAROLIINN�A 28531
PnV Y i fI i-G /7, -,/
DATE
TO THE ORDER OF
CHECK NO.
UV LI H.J
DESCRIPTION DISCOUNT
'/V
C-� P C - / ao -3,Q
WACHOVIA BANK OF NORTH CAROLINA, N.A.
HARKERS ISLAND, NC 28531
II'0009 200 I:0 5 3 10 1 5 291:
s ,63 114L,9EII'
0920
66-152/531
CHECK
AMOUNT
$ 5 v od

---- ADJACENT RIPARIAN PROPERT
Y OWNER STATEMENT
P'er
� trs
I hereby certify that I own property adjacent to
Rm C= t nn � ern -Is property located at
(Name of Propertv owner)
D (3�t'GPj -rI7 O o rn a a I o 4, Lq� T3 r:) c,I­, 5 b"h d; TtA n r.,6 ? d
(Lot, Block, Road, etc.)
on G�Lk Sau.r, in ��Grkc�rs Island �C'wp,�`r�e�1
(Waterbody) (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)
—� 4�e, p;er r' s not to 6e u sc4
ILvn
5-4ing �i
X�er
1.
�vha ilj�, V. DcAerbif-sl(o`
Print or Type Name
Sot, L q 50V0
Telephone Number

4113AEENT RIPARIAN PROPERTY OWNER STATEMENT
1
I hereby certify that I own property adjacent to
l o.y)-, L-z C pnitf-) Ri vy-)�23.
(Name of Property Owner)
's property located at
pGY C,t� Z� d Oa IJQ t� 0 4 9 L— t 73a-6e, S D c�h6 I Atir A �a ,
(Lot, lock, Road, etc.) r�
onf).C�`� SDl�hd , in rr1tev-5��ar,d-,��Yt, N. C �OlAlnji�Jaq
(Waterbody) (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)
Cx i s�l'i ng
T3u1k1)ea�
PEc1<
SCY4\�1>P
lr' 0%,ss
�\r�- 1 Joo' 4`
b� X flog ?I-�orY,
50 +
L=)('Is4z-iYN5
I
Signat e
it izai,e--k 1�-. Ek lle�r
Print or Type Name
L? 9- 37-
Telephone Number