12103_MARTIN, JOHN_19931217

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CAMA AND DREDGE AND FILL o ? 03
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 15 NCAC
Applicant Name f Phone Number
Address
City ' State Zips
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity 7 �'
PROJECT DESCRIPTION SKETCH (SCALE: )
Pier (dock) length
A
Groin length ' ;F
v
number
Bulkhead leggth
max. distance offshore Al
Basin, channel dimensions
cubic yards
Boat ramp dimensions
\ i� J
Other q
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,
applicant's signature
imprisonment or civil action; and may cause the permit to be-
come null and void.I
This permit must be on the project site and accessible to the permit officer's signature
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 issuing date expiration date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
objections to the proposed work. attachments' /l
In issuing this permit the State of North Carolina certifies that —
this project is consistent with the North Carolina Coastal application fee
Management Program.

LARRY G. ARNOLD 66-1521531
MOREHEAD CITY, NC 28557
PAYTOTHE
Wachovia Bank of North Carolina, N-,L
Morcheud City, NC 28557

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
is property located at
(%ame of Property Owner)
(Lot, Block, Road, etc.)
onLec< r-� ��Fi- in��ri GZr� �'—-�� 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) i
t
Tva"�- 'IR 14
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Signature
,v p U)1�
Print or Type Name
C/q -/ -W
Telephone Number

ADJACENT RIPARIAN PROPERTY
OWNER STATEMENT
�4y�-r a wt
I hereby certify that I own property adjacent to
's property located at
of Property Owner)
(Lot, Block, Road, etc.
on , in &�U/L Cyr. ..� , 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)
Signat re
Print or Type Name
Telephone Number
0
v

ADJACENT RIPARIAN PR(
OWNER STATEMENT
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awl z ,,
I hereby certify that I own property adjacent to
Name
Property Owner)
's property located at
(Lot, Block, Road, etc.)
i /
on , in ill 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)
Signature
Al ! P P-L- p /44 L-7J-17&-
Print or Type Name
9/ 7 17 S -- 3 G -?-/
Telephone Number

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