13805_RIGGS, WILLIAM_19940927

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CAMA AND DREDGE AND FILL
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 15A NCAC
Applicant Named- Phone Number
Address
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City,State Zip
Project Location (County, State Road, Water Body, etc.) IS -
Type of Project Activity
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PROJECT DESCRIPTION
Pier (dock) length
SKETCH r. i' ' r�
(SCAJ
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Groin length
number
Bulkhead length's
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ax, distance offshore
Basin, channel dimensions_
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cubic yards
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Boat ramp dimensions
Other
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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 -
is consistent with the local land use plan and all local
ances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
objections to the proposed work.
applicant's signature
r' permit officer's signature
issuing date
attachments��rl
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.

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66-112 13 81
OSPREY MARINE CONSTRUCTION 53'
2773 HWY. 70 PH. 919-728-4980
BEAUFORT, NC 28516 C) 19
FPAYTOE �! i/f/ I $ St 1 � 1�
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MOREHEAO CITY. 1.-RI. CAROLINA 26557
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ADJACLNT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
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Name of Property Owner
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(Lot, Block, Road, etc.)
on p. in A�AlzuP2 `J S z s . 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)
nature
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P�hNr 0 2TI- Name
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Telephone Number
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