26123_PATTERSON, SHEILA_20000711

CAMA and DREDGE AND FILL 0� - 26123,
G E N E R A L�'� ,✓
PERMIT
as authorized by the State of North Carolina �,i `' (�LL,
Department of Environment and Natural Resources and thkoastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC
Applicant Name
Address
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION SKETCH
Pier (dock) Length FTT
Groin Length
number
Bulkhead Length 1, t )
i
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
State
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.
Phone Number
zip
(SCALE:
applicant's signature
permit officer's signature
issuing date expiration date
attachments
application fee

Sheila L. Patterson Md 66-3D/511
223 N. Holland Pt. Dr. [phone]
21 1314
Stella, NC 28582 I)A1F
PAY fFIE D ZN O
ORDERER OF _ __
DOLIARS
I nuk for Micru P nt , -nature hoc. gray type and Iinaroi k. first C oven, it., A logo on hack. II not prescrit, do not cash.
'FIRST CITIZENS 211
p � First-CMzens Bank 8 Trust Company
^��y1,1` "' Camp Leleune, N.C. 28547
FOR �f! _' ��(C�3. .--
1:0s31003001: 2 It i7771, iG1,Hs 0 It3 It

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to SN-Ei,_.o 1*r7fizsa.A/ 's
(Name of Property Owner)
property located at --Z 2 3 iv. A- D.Q
(Lot, Block, Road, etc.)
on Gam,rE n.9K .P�v�.c_ , in .57F444 , 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)
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Print or Type Name
/IC-5z6-
Telephone Number
Date: Z Irz)
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 5i01C I L,4 a Al 's
(Name of Property Owner)
property located at _2 2 3 /t/. /-e�".,v o 16'�; D,e ,
(Lot, Block, Road, etc.)
on 6✓111rs o4,r 4ovF.2 , in _STf-,-.a , 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)
�£P�.AC�. �f(iST„�/4- �✓.I<.c.S� i,'u.��D D£.CK 3F'�w£.tn/ ,al�cJ (.t/.4G�S
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Signat re
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Print or Tvpe Nam
Telephone Number Date: �"OC2'6 S�% �S