28137_JONES, JAMES T_20010625

CAMA and DREDGE AND FILL
G E N E R A L94
f rT'
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 Phone Number
Address
s e
City State N; zip %
Project Location (County, State Road, Water Body, etc.) r#. l;. i c, 4 l! (a• �:- S��y v
Type of Project Activity
PROJECT DESCRIPTION SKETCH
(jr; Ev.., T
(SCALE:
d/
)
Pier (dock) Length
NO
s
t
Groin Length
number
Bulkhead Length 1 331
/
P'
� •
max. distance offshore 5
J •i
l�
Basin, channel dimensions
cubic yards
Boat ramp dimensionsmy
M
i
other
1
I
j2.
Mw�..
Ott
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This permit is subject to compliance with this application, site drawing
f. ! l`
and attached general and specific conditions. An violation of these terms
g p Y
'
�, �' applicant's signature
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-
permit officer's signature
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
issuing date expiration date
! 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.
attachments
In issuing this permit the State of North Carolina certifies that this project
i is consistent with the North Carolina Coastal Management Program.
l
application fee

Margaret Y. 9OW `ph-252-569-6301
games 7 Yaw
Ssn 241-52-6225 COC Usaf RO
1239 Smith -Grad Pld
Seven Springs, "�
578
PAY TO THE
1810 I
66 2581531
DATE
I A A —� _DOLLARS
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aek .
—m, OINeICee l IGII,amNC
pudjoyiSeven SPrinGelDeeD f
FOR
i:0531025861.4g079?7252ll6 L8!

="T' ACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent t e /, 46;,vd- d s
(Name of Property Owner))
property located at _ W AxcoD,eo IV (f .
ot, Block, Road, etc.
on 4-/� 41 Ll t-4 -, in_ 04�ff- , 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_1IENT
(To be filled in by individual proposing development)
Z) ?kAv�
S
Zcane nc,
-5u [. K !/E I L?
Co--nC/-eete
WA7t,
Signature
i7 /� 1�i���/S I� _
Print or Type Name
'2 - _S c .
Telephone Number

ADJACENT RIPARIAN PROPERTY OWNER STATEIINIENT
I hereby certify that I own property adjacent t e
(Name of Property Owner)
property located at-
ot, Block, Road, etc.
� E
on ,( t� .e. ��,e�2 , in I-e,Q,e, Cip ,
(Waterbody) (Town and/or County) N C.
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_-M=
(To be fclled in by individual proposing development)
s
Leani nco
-5uLr<NeIQ
S OU/ �.� uio7`oe
SiD ature
i ' I (
Print or Type Name
glq• S"• 1R92
Telephone Number