12189_LONG, RONALD_19940603

CAMA AND DREDGE AND FILL # 89
GENERAL N f
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 15 NCAC 711 1 1 ' / :,
Applicant Name -^ -r Phone Number
Address 17 / 7 i`
City, r. 1 s 1f - , �- � • � State - i Zip 7
Project Location (County, State Road, Water Body, etc.) "� I 'fit '� _f ✓ °" �'r
Type of Project Activity Cy. , ;OL
/�
PROJECT DESCRIPTION
Pier (dock) length
T ), ,
Groin length
number
Bulkhead length
ax. distance offshore
i7l0
Basin, channel dimensions
cubic yards
IBoat ramp dimensions
IOther
SKETCHr 5 Lv
Thi 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-
t 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.
(SCALE:
f% applicant's signature
issuing date
attachments
permit officer's signature
expiration date
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee` • '
Management Program.

THIS CHECK IS DELI V EREO FOR PAYMENT
ON THE FOLLOWING .ACCOUNTS
DATE AMOL
N. C. SHELL FISH ENTERPRISES
90511
13i l31JE4 RT-4,-BO*-158 PH.919-728-3916
fZcAbl BEAUFORT, NC 28516 % 66-112
531
TOTHE
PAY
ORDER OF
TOTAL OF INVOICES /GDOLLARS
LESS% DISCOUNT .00'tBU
LESS
TOTAL DEDUCTIONS MAwcH uwalwc AwD iRo.i cor Awr G.'� `�/'� / ' M�
d EAU FO RT, NORTH
AMOUNT OF CHECK �- O
0000 90 5 1 1113 1:0 5 3 10 1 1 2 11: 1 2 2 10 19 2 1 ?110

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certif
that I own property adjacent to
'-'�) d'f !41 's property located at
(Name f operty Owner)
p l
(Lot, Block, Road, etc.)
on in ��GcJi9� �� �C�F/ , N.C.
(Waterbody) (Town and/or ounty)
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 individu+t\ proposing development)
x�
l t
0 �iou5r
A)�
Ro
I- n N
Sig ature
Print or Type Name
4't116 '
Telepho Number
� �-`� -5 3 �

. . r
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
f is property located at
ame df Property
(Lot, Block, Road, etc.)
on 97 I\k4r9 . '-n N.C.
(Waterbody) (Town d/ r 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)
12o c �'� aoG N r6d %
s ro1�)Txs�
�n N C. L.o /V G- PwD r I-, h�/
a --a /- h ):
u
S�Ignatue
Print or Type Name
%ZJ3 -ZGJ D7
Telephone Number