26606_GOODMAN, ALLEN_20010530

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CAMA and DREDGE AND FILL
G E N E R A L �ssr�� _-� �_.
PERMIT
as authorized by the State of North Carolina
Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC
Applicant Name
Address
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION SKETCH
Pier (dock) Length 7
Groin Length
number
i
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
State
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 become null and void.
This permit must be on the project site and accessible to the permit of-
ficer when the project is inspected for compliance. The applicant certi-
fies by signing this permit that 1) this project 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.
Phone Number
zip
(SCALE: _ )
applicant's signature
permit officer's signature
issuing date expiration date
attachments
application fee

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FOR 4 SED /1�-
NEGOTIABLE pN E U.5, AND POSSESSIONS
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NEGOTIABLE pN E U.5, AND POSSESSIONS
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ADJACENT RIPARIAN PR ;j `4-11LTY OWNER. STATENTENT
I hereby certify that I own prop,),I-.y �ja.cAnt to
5
(Name of Property Owner)
property located at.�x�
-
P�Road, etc.) y
on _
(Waterbody - �r...._ `;rc'! . N.C.
(Town" and/or County)
He has described to me as shown }JlOs'Y, the development he is proposing at that location,
and, I have s to his
DESCRIPTION AND!o ):t.�V-it q G OF PROPOSED DEVEIAPND 'N '.,.'
(To be _Vfel, al proposing development
Signature
L e ,3-
Print or Type Name
Telephone umber
Date: U

ADJACENT RITARIAN PROPERTY OWNIUZ STATEMENT
I hereby certify that I own property adjacent to —AZlltl��-L�'s
LI
(Name of Property Owner)
property Iocoted at ,;YV 6
r
(Lot, B14k, Road, efc.)
on f� / �_in
(W3terbody) - - .'Y , N.C.
(Town a-nd/or County)
:tle has described to me as shown below, the development he is proposing at that location,
and, t.(a:tiT no objections to his proposal.
`g;,SCRHMON AND/OR DRA
(To be filled in by in
WIl'1G OF : ]Rf);`���tiF.b DEVELORN EN`'T
dividual pr&-.f development)
I x rs7 Q rA7
�MG
T Pti,,
Signature
J'L/ Z'
Pant or Type Name
Telephone Numbe:
Date: