HomeMy WebLinkAbout24488_FINCANNON, VIOLET_20000120CAMA and DREDGE AND FILL
--� G E N E R A L���
PERM I T
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
' Phone Number
Applicant Name i' '
Address __. �; ✓� . , (f, .r
City r .
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
_ State Zip 4-
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, k
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 issuing 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.
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
expiration date
attachments
�i0—
application fee
DEREK S. SMITH 1792
NC 7836496 PH 919-247-4428
107 HAWTHORNE DR I� �rO 66-152/531
PINE KNOLL SHORES, NC 28512
DATE
=ORDYERO- �`�ci
DOLLARS � ^=wa. o.
Wachovia Bank of North Carolina, N.A.
Morehead City, NC 28557 _
FOR
1:053101S291: 546L IL32L40 L792
1)_q U S F TGX X0. 703 1
ADJACENT RIPARIAN PROPERTY ONVINER STATEMENT
I hereby certify that I own property adjacent to &I—eg
(Name of Property Owner)
propeM located at It-ev- Pow Wr C �� %VC
(Lot, Block, Road, etc.)
on p [�w�-�a� in < Ali e, ..��� , 3�� C eee , N.C.
(Waterbody) (Town andlor 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 DRAWrI G OF pROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
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Wes, sf,
>4$.
j 2-� 'jbra�roS_ tCa�/
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Signature f f'' I J
jo t-r_
Print or Type Name
Telephone Number
Date: : COD
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT 11
Fl,� 4 vas
I hereby certify that I own property adjacent to ���✓.B'a"� 's
(Name of Property Owner)
property located at Z �`'�tt �'``/(�i �r- �'✓ "��S �� /� ,
(Lot, Block, Road, etc.) /j
on Q''�,� [te— , in 5-,,' 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 individual proposing development)
35 V- V/ �e
S
for",
u�l 4 a-
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------------------------- ---------------------------�
Signature
Print or Type Name
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Telephone Number
Date: z / z /) I'W