27935_LANCE, DANIEL D_20010605

Your project is subject to the NC Division
CAMA and DREDGE AND FILL of Water Quality Neuse River Buffer Rules j�
GE N E R g E due to its location within the Neuse River 5
"
Basin. Please Contact Deborah Sawyer
�~ at 252-946-6481 or
P E R M I T deborah.sa [e-mail] )Go5i -34
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
City State zip
Project Location (County, State Road, Water Body, etc.) i
Type of Project Activity
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.
applicant's signature
' permit officer's signature
�l Ur. U
issuing date expiration date
attachments
application fee

LANCE INDUSTRIES
4012 NC HWY 304
BAYBORO, NC 28515
2046
'T —2 66-152/531
it45 ATE
hit 'lo FFIE
ORDEROF
_VXROVIA
Wachovis Bank, N.A.
lwyl...,. NC 28515
I. -OR
1:0 S 3 10' IS 291: 07137 2 106 S Slim 2046

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
DAN,c1- D ' IW'
I hereby certify that I own property adjacent to
(Naine of Property Owner)
I
property located atyv %`� _ �lw � f 864k 2e3 �� 2'93
(Lot, Bloch, Road, etc.)
on 0-1 �A� Of P4VMWCOCov {Y.YWP 3 , N.C. in N�
(Waterbody) (Town and/or County)
He has described to me as shown below, the development lie is proposing at that location,
and, I have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT'
Cro be filled in by individual proposing development)
Print or Type Name
2S2--74S-3418
Telephone Number
Date: SMA V I _
-29-

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to D14Ve,51,
(Naine of Property Owner)
property located at llwi3ojl , z3oo`c 203 PAS E 2y3 7o yZ --/S6,
(Lot, Block, Road, etc.)
on CNAF65L CX95C—K , in 8A`?Bc?�, l ltcp Coy,�7y%'wsp 3 , N.0
(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 individtcal proposing development)
1FfL°PJ"�Y
CH4P6-1- CeE6K POCK
,ti1� _ M a 2s ►� D a a� t �9 2`I 4
>P x x D B l i Z p9
a
ND / SCALE -0 VLN)
&A r (For oluIE
�.2,V
Signature
fwt'P) Pic u7,er.s M01y)aC _
Print or Type Name
q 4 t -!Q67- 6a7�
Telephone Number
Date: DO _
—29—