HomeMy WebLinkAbout13087_ROSE, CARL_19940614CAMA AND DREDGE AND FILL C,
GENERAL
PERMIT�1-�-��� -
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 .' R `4 l 1 CO �A 1 '
Applicant Named �� �� �' Phone Number
Address
City State Zip
Project Location (County, State Road, Water Bogy, etc.)
Type of Project Activity
PROJECT DESCRIPTION
Pier (dock) length
Groin length
number
Bulkhead length__
iax. distance offshore
Basin, channel dimensions
cubic yards
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.
applicant certifies by signing this permit that 1) this pro -
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.
applicant's signature
t officer's signature
issuing date expiration date
f1 [ <
attachments _ '
I
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee `� �' U �1<
Management Program.
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CARL A. ROSE OR
63-530/631 471
MARIE K. ROSE BRANCH 546
904-426-2333
108 LOWSE AVENUE
NEW SMYRNA BEACH, FL 32168 19
ODER OFPAYTOTHE - $ 7�.� 2 2
LLARS
fS E ur;iadk of Volusla County
n
4 4lu
Ed ate, Office 548
n ALL - IN- ONE!
YN Ridgewood Ave.
COI Edgewater, FL 3213 �PO-;36 87
FOR
':063l053013l:0546055030200"m 04?j
.............. ................... ................. .. . . . ......
ADJACLNT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
Name o
's property located at
roperry owner)
(Lot, Block, Road, etc.)
on y1 ' � Af I ► in a —): )e r c ;2 /- N . C .
(Waterbody) (Town and/or County)
fie 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 DEV19LOPMENT:
(To be filled in by individual proposing development).
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F,oPas� 1Q� R
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P 1nt or Type Name
'7"Z6 l(VnICT.
Telephone Number