28985_KING, LILLIE B_20010928

CAMA and DREDGE AND FILL
G E N E R A L
PERM I U -)V
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 ` I .-
city
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
Phone Number '
State Zip
PROJECT DESCRIPTION SKETCH
Pier (dock) Length
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(SCALE:
hr,
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Groin Length
number
Bulkhead Length
max. distance offshore
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Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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This permit is subject to compliance with this application, site drawing
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and attached general and specific conditions. Any violation of these terms
—
applicant's signature
may subject the permittee to a fine, imprisonment or civil action; and
may cause the permit to become null and void.
�"1s::� S•'�
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
is consistent with the North Carolina Coastal Management Program.
application fee

LILLIE BANKS KING OR SAMMY H. KING 6Pi-JS44_S 399
LILLIPAD ACRES MHP 910-326-1196-OFFICE#
DL. 1981852 HIM.252-393-7140 /
P.O. BOX 23,141 PALMETTO DR. CEDAR PT. NC �� (�
6
SWANSBORO, NC 28584 0 202301
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BRANCH BANKING AND TRUST COMPANY
REHEAD CITY, NORTH CAROILIN ` •••c o of ��{/]/�/\)/� .
i• i' 233065L761" 0399
.053LOLL2L.L

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to is
-Naine of Property 0'wn`ePJ
property located at — --t' ,
j �(� (Lot, Block,, Road, etc.
on t�—y� 6 1�1�'y -e-; in I , r t , 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 DEVELOPMENT
(To be filled in by individuai pro using dev� to meat)
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v,
Signature
Print or Type Name
641
Telephone Number
Date• -� --.� �' /
4.

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
�
I hereby certify that I own property adjacent to i•, ,.S, � �Il ,.'hrc:, is
(Name of Property caner)
property located at _
e
(Lot, Block, Road, etc.)
on U,t r) \ in a � J 7 N. C.
L
(Water ody) (Town and/or County)
Ie 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 DEVELOPMENT
(To be filled in by individual proposing development)
afl
CJ # I f PY"sP ss e4�
Signature
L 6 M/ A/ S Z' f
Print or Type Name
a�1- 73113-( 2 36
Telephone Number
Date: C� %

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