HomeMy WebLinkAbout13110_SMITH, JOAN_19940629x ,-
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CAMA AND DREDGE AND FILL -
GENERAL Q
PERMIT
t
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 �! _ % �G` l//
� l97
Applicant Name 16r 1 Phone Number �/ �f'' �f ✓
Address
City State
Project Location (County, State Road, Water Bod/, etc.)
Type of Project Activity
Zip
7�
/7
PROJECT DESCRIPTION
Pier (dock) length
SKETCH y�7
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(SCALE:
)
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Groin length
-
h
number
Bulkhead length
{
max. dianrce offshore
_
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Basin, channel dimensions
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cubic yards
{
Boat ramp dimensions
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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-
fs consistent with the local land use plan and all local
or inances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
objections to the proposed work.
issuing date expiration date
attachments I _.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
application "f'ee � t'� G�419
1
UNITED STSITS POSTAL AMNEY ORDER
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6048136b,�35 940629 285601 5._:
SERIAL NUMBER 1-1. u
PAY TO /J
CHECK WRITER
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IMPRINT AREA
ADORES
FROM
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ADORE
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USED FOR , 3 0 A/ ,
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ADJACEM RIPARIAN PROPERTY OWNER STATEMENT
X'hereby.certify that 1,awn p;roperty adj ace'nit-to-
Is Prop -at -
(Name .. of. .-. Propeowner)
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(Lot,, Block,, Road, .etc.)
.'on
• (Waterbody) (Town and/or ,County).,
He, has to as shown below, the d6volopment he is.
.1 have no. obj eptions'to his
,,.•
proposing ,At'that 'location, and;
proposal.
-------------------------------------------------------
DESCRIPTION AND/OR.'DRAWING OF PROPOSED DEVELOPMENT:
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r ' DJACENTyRIPARIAN PROPERTY (WtiLft STATFrtENT — �J
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• I *hereby. certify that x, own propertymq
adjaoent' to -- --
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_ +.r+�r.r++�rrarr.+I:+.r...��.. �. r...r�.r� . .�..�...rr ..�....,.,� at V'la :"��• � �
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t •' �, : /'• (riot, . Block, Road, -.etao , I —
��J ; in 1�l-.act 13FyJ N.C.' T
�. (Wate bod ) . (Town and,/or , Count)
t . •a s low , 'h s' �desCxibed 'to 'me a shown be, he dev • to • ment h�e•is ..
aposing at tha 'location ' and; I have na, objea,tioris''to
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DESCRIPTION AND/OR. -DRAWING OF PROPOSED DEVELOPMENT: ;
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