24503_ROBINSON, JOSEPH P_20000327

CAMA 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
Applicant Name
Address
City
Project Location (County, State Road, Water Body, etc.)_
Type of Project Activity
PROJECT DESCRIPTION SKETCH
Pier (dock) Length
Groin Length
number
Bulkhead Length
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

LARRY J. WALLACE NCDL 2222058 66-7538/2531
ELIZABETH L. WALLACE NCDL 3132392 01
1204
105 CAMP KIRO RD. 919-633-4742
�
NEW BERN, NC 28560 Date
PgyPay to the,
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Dollars 0 =—
First Flight
Havelock, NC 26532 Cye pq,�i\2-�
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1: 2 5 3 17 5 384o: 10800 58 26408Il 04

5 ■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
J or on the front if space permits.
Article Addressed to:
Il'�ff 0IGiTf�t�'�r���'c� Y~f
4,13or As/ 4 8
A. Received by (Please Print Clearly) I B. Date of Delivery
C. Si nature �
X — ❑ Agent
❑ Addressee
D. Is deliv d ss,ifffferent`from item 1? ❑ Yes
If Yivrery address below: ,� LJ No
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MAR)52DW
ES
3.
❑ Regist"QS 1
ElInsured ��[i.
4. Restricted Delivery? (Extra Fee)
Merchandise �
❑ Yes
2. Article Number (Copy from service label)
Go69CV? !
j PS Form 3811, July 1999 Domestic Return Receipt 102595-99-M-1789

UNITED STATES POSTAL SERVICE
First -Class Mail
Postage & Fees Paid
LISPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Individual applying for Permit: - ro G `' C' ,
Address of Property: % 0 / Fa s>c �' a ""' /L ^ /7 d A LJ 13 eY,,o N ` G
_. F 6- 6 0
(Lot or Street #, Street or Road, City & County)
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, should be provided with this
letter. j e e a Het c e C>✓ d at-;/, h
I have no objections to this proposal.
If you have objections to what is being proposed, please write the Division of Coastal
Management, Hestron Plaza II, 151-B, Hwy. 24, Morehead City, NC, 28557 or call (252) 808-
2808 within 10 days of receipt of this notice. No response is considered the same as no objection
if you have been notified by Certified Mail.
WA SE
I understand that apier,%dock, moor' g pilings reak�
set back a minimum distance of 15' rom my rea of rid
wish to waive the seb`ack, you st initial e appro
i
I o wish to aive the ' setback eq
I do not w' h to waive the 15' s tbacl
Date
C, # q c -r
Print Ne
Telephone Number With Area Code
;.,-, rjhc�
a r, boat h se, lift sandbags must be
rian acce unless aived by me. (If you
late blan below.)
�irem t.
requirement.

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