10923_General Permit_19921002

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Applicant Name
Address
City _
Project Location
LAMA AND DREDGE AND FILL
GENERAL r, P
PERMIT 9NcTcda 10923
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the ast sourc V �(�19(
'0in an area of environmental concern pursuant to 15 NCAC C/
Phone Number10
/�
( ounty, S to Road; Wat r Body, tc.)
State
Zip_
e:2
Type of Project Activity '
v
PROJECT DESCRIPTION SKETCH �s ,L� (SCALE: )
Pier (dock) lennth
Groin length-
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number { - ✓ f�„ / / C . P i �% ' t ,�
Bulkhead length !r�7;'
ax. dissttaannce offshore e ! �L
Basin, channel dimensions
cubic yards
Boat ramp dimensions r?
Other
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any 4
�K
violation of these terms may subject the permittee to a fine, "
� PP a licant's signature
imprisonment or civil action; and may cause the permit to be- ---------
come null and void,
This permit must be on the project site and accessible to the
permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that_1 thispro-
a liis consistent with the local land use plan and all loca
ances, and 2) a written statement has been obtained from
aent riparian landowners certl ying that they have no
objections to the propo
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
pe424it officer's signature
issuing ate expiration date
attachments
application fee C ✓�

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'TO 'THE P2-o perz7 Y
,f,4"P 1"OP-ENE4J>
B06tJE SOUND
ft W Y';?q
SLR

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
I hereby certify that I own property adjacent to
's property
Name
located at Hwy on
(Lot, Block, Road, tc.)
YD m J-e in -ay' _ef-e I C VUItiJzl �;v� N.C.
1(Water Body) (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. I understand that a pier must be set back a minimum
distance of fifteen feet (151) from my area of riparian access
unless waived by me. -
I do not wish to waive that setback requirement.
I do wish to waive that setback requirement.
Description and/or drawing of proposed development: (TO BE
FILLED IN BY INDIVIDUAL PROPOSING DEVELOPMENT)
Signture
ma
Name
AV
Phone Number

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
I hereby
certifyt'`h/at I own property adjacent to
1� i Ed C (r//� Av�crv�c 's property
//Name
located at C�f^��7���iF�Cadr'r,l�cT1 - f%;rf� , on
(Lot, Block, Road, etc.)
in ��, it1P ` r�,,\ o - `r��r��1Ncil rid" , N.C.
--(water Body) (Town and/oil 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. I understand that a pier must be set back a minimum
distance of fifteen feet (151) from my area of riparian access
unless waived by me.
I do not wish to waive that setback requirement.
I do wish to waive that setback requirement.
Description and/or drawing of proposed development: (TO BE
FIT,T•Fn IN BY INDIVIDUAL PROPOSING DEVELOPMENT)
Signature
Ll
G✓J 2.,-- r
Name
2 cU 3
Phone Number

State of North Carolina
Department of Environment, Health, and Natural Resources
Division of Coastal Management
3411 Arendell Street • Morehead City, North Carolina 28557
James G. Martin, Governor December 16, 1991 Roger N. Schecter
William W. Cobey, Jr., Secretary Director
Mr. Jimmy Goodman
611 Adair Street
Fayetteville, NC 28303
Dear Mr. Goodman:
Attached is a Certificate of Exemption From Requiring a CAMA
Permit to perform work as described on the exemption at property
on Goose Creek, off Bogue Sound and Highway 24, near Russell's
Hardware, in Carteret County, NC.
In order to validate this permit, please sign all three (3)
copies as indicated. Retain the yellow copy and the attached
regulation (7K .0203) for your files and return the blue and
green signed copies to us in the enclosed, self-addressed
envelope.
Your early attention to this matter would be appreciated.
JLM/dh
Enclosures
Sincerely,
cs�James L. Mercer
Field Representative
P.O. Box 769, Morehead City, North Carolina 28557 Telephone [phone]
An Equal Opportunity Affirmative Action Employer

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DATE PROJECT NO.
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SCALE COUNTY
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SCALE DATE
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EGI TERSI) LAND SURVEYOR REGISTRATION NO.
su E -11 DATE john p. mclean engineering assOdSte$
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Land Planning
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FIELD BOOK DRAWN BY
PAGE
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