12051_LOFTIN, A. GLYNN_19940111

CAMA AND DREDGE AND FILL
GENERAL
PERMIT
N.
C
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
Applicant Name = Phone Number
Address
City Stare Zip
P 'e t I ot' (C S R d
rol c ca Ion ounty, tate oa ,Water Body, etc.)
Type of Project Activity c" ,
r -
PROJECT DESCRIPTION -SKETCH
Pier (dock) length
1'-11J
_ t
Groin length
fnumber
Bulkhead length
max. distance offshore
s t
/ Basin, channel dimensions
JA
cubic yards , i
Boat ramp dimensions
Other % f I i
i
i
�_--ram` ` . -
j I --
t
- --- --fib
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.
e 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.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
/,,! (SCALE % )
applicant's signature
permit officer's signature
ZZ
issuing date expiration date
attachments
application fee- -� <- / •.f-f' l ' 1,

0472
ANNETTE J. LOFTIN 66-858/531
NCDL 4538106 55001
1102 STOKES AVENUE 919 794 2170 / 1 _ _ 194--_-
WINDSOR, NC 27983
PAY TO THE C1 — -------_--
ORDER OF
"�� DOLLAR
first Union National Bank PERFORMANCE BANKING
`t `I� ' \ I of North Carolina
YM I r1l `I`I�I N.0
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FOR
053 1
085801: LOF
55►,33987891I' 01,7 2

Sim F Bound Courses and Dist
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ADJACENT RIPARIAN PROPERTY OWNER STATEKENT
I hereby certify that I own property adjacent to
LLB W (� Ly /Vr\.J 4- o yr-/ 's property located at
(Name of Property Owner)
(Lot, Block, Road, etc.)
on 1�)1( I—(E O /96 A l AE& . in C PA C o� Nr L N. C.
(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)
rtr H E D 5 U RuE i
T � U-B LA I I- D to a t-t<,H F-4b
C�onature I�YA►J �J ATSoNr4 �- F WCtb T
�\ Print or Type Name
a
Telephone Number

9
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
LLr6m G L`le` 6, J- 0r-r/ /V
(Name of Property owner)
is property located at
(Lot, Block, Road, etc.)
on UKI%I)E� 00* ;�IVEZ in C'M)np L`T co, N.C.
(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)
SrL- i47Ti�H� SN�vG`�:
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C flNfl-L- 3 N ►- ►z /iC fl
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-�IEE S vG`> FOR
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Si-gnature
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Print of Type Name
r�-..1 Z Z2 /
Te ephone Number
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