10887_General Permit_19920910

CAMA AND DREDGE AND FILL,��
GENERAL ✓��--�►-� —�
PERMIT 10887
as authorized by the State of North Carolina �
Department of Environment, Health, and Natural Resources and the s al Resources Commission
in an area of environmental concern pursuant to 15 NCAC % �/ / t 11�
Applicant Nam I i -k-
Address , �� � 6 ! �''U,-1P
City, /lam State
Type of Project Activity
PROJECT DESCRIPTION I SKETCH � 6e,
Pier (dock) length
Groin length
number
Bulkhead length
,�3a,
max. distance offshore
a/
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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 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) this pro-
ject 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.
Phone Number 7 " 3
d4"41
,
issuing date
applicant's signature
permit officer's signature
l ? li- - qa-
expiration date
attachments _ " �/7 1 2
In issuing this permit the State of North Carolina certifies that � 1 � /?a
this project is consistent with the North Carolina Coastal application fee
Management Program.

ADJACENT RIPARIAN PROPERTY OWNER STATES NT
Ihereby certify that I own property adjacent to
H go �F-iz I J, +4 A &i5a i i Ad Is property located at
(Name of Property Owner)
?d
I r "
Lot, Block, Road, etc.
on M& ILjA) ki1<r in A)&A 260fJ eleVWL 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:
�0 (To be filled in by individual proposing development)
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d&a
Signs r
Aup,Eb d. EyDtEMAN
Print or Type Name
6U fT72,-
Telephone Number

t 09i1041992 16:46 FROM FOLEY & FOLEY INC. TO 19197266062 P.01
t
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. ENT TY MM STA �2IpA1tx�N p ',�i►tENT
Ari►7AC f�OPER
I hereby certify that I own property adjacent to
's property- located' at
(Name lof..Rroperty. Owner)
(Lot, Block, Ytaad, .etc . )
on Q6LMwe in A E-4 a --- fiA -
Waterbody) (Town and or.County)
He has,doscribed to me.,.as shown, below, the development he is
proposing at that location, and," I have no objections to.his
proposal.
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DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
Signature
Print or Type Name

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