HomeMy WebLinkAbout27536_JEFFREYS, TOMMY_20010206Applicant Name
Address
City
,/ IV �� �-
CAMA and DREDGE AND FILLfy ��
2,7536
G E N E R A L
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
State
Phone Number 11 ` 1k • 51F l
Zip 7 -' ( o
Project Location (County, State Road, Water Body, etc.)
''fir-.�'S•lur�•� �rb _ r?tx«: 4't�+�ri
Type of Project Activity ,u it V, , I No/) ) l ovg Wu It a ,n-d (n ' r
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.
applicant's signature
permit officer's signature
issuing date expiration date
attachments
application fee
3365
RICHARD C. FLOWERS Q W52/531
NCDL 1550043 �p 0 1
212 BAYVIEW BLVD Date G _
ATLANTIC BEACH, NC 28512
Pay To The n
Swuriry lumn.
Order Of /I
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to vlttiT b r tee. S I
_ (Name of Property Owner)
property located at - 1 0 Le— v.,Vy
(Lot, Block, Road, etc.)
on _,in 'T' I Cc ti f r� C� . , 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 DEVELOP_-N=
(To be filled in by individual proposing development)
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Signature
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Print or Type Name
2S� - ZLI-7 7 N) r
Telephone Number
Date: 2 6 .. U
Jan-19-01 11:17am from-
T-391 P.02102 F-9A1
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