10702_General Permit_19920304

F CAMA AND DREDGE AND FILL
GENERAL
PERMIT sr "*ra 10702
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coa tal Resources Commission
in an area of environmental concern pursuant to 15 NCAC 1t% 10_xs
r. A ,
Applicant Name J W K0 el l 711,u !_54 4,eA ff" I-K14 Phone Number
Address ()&q A,, e <<( R T>
City r-n00 State
Project Location (County, Statte� Roadf Wat r Body, etc.) r �N �itl � s, o ti `
i�FCr7A0 �I _�P
Type of Project Activity
-7f, jyr'
PROJECT DESCRIPTION I SKETCH
Pier (dock) length
Groin length
number
Bulkhead length
I
max. distance offshore Z_
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
/_� f10/? f) eIr lL
zip 0 - </r Z
(SCALE:
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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.
(� applicant's signature
r/
permit officer's signature
issuing date expiration date
attachments 7 ! - f o CD
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee. (�
Management Program.

ADJACERr RIPARIAN PROPERTY OWNER SLAT
I hereby certify that I own property adjacent to
Jaroslau F. & Barbara S. Hulka
(Name of Property Owner
's property located
at Fork Point ,
(Lot, Block, Road, etc.)
on Brown Creek , in Pamlico County , 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)
� ,J
Signature
Print or Type Name
F/ 9 2L� 9 -I 0 9 3-
Telephone Number

FIR
I hereby certify that I own property adjacent to
Jaroslau F. & Barbara S. Hulka is property located
(Name of Property Owner)
at Fork Point ,
(Lot, Block, Road, etc.)
on Brown Creek , in Pamlico County , 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.
1
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
ture
�_gg4 G�)_ UA.3\
Print or Type Name
(�(7 _ :;�7 -)--s r'5'-
Telephone Number