HomeMy WebLinkAbout10847_General Permit_19920811CAMA AND DREDGE AND FILL
GENERAL
PERMIT NT9 10847
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources andle Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC 1...?
Applicant Name (- '' '�'� t ' �'" ct'i�, Phone Number<</
Add S�'1<.q- s �j l i 1. �/1 1" i.'r' , I %, -'/
ress
City
Project Location (County, State Ro d, Water Body, etc.)
Type of Project Activity
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This permit is subject to compliance wltn tnls 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.
Stdt� r
(SCALE: )
applicant's signature
permit officer's signature
issuing date expiration date
attachments �/ 1�1. ! �C. l•
t
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee • i�
Management Program.
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
C�DRODN,/�,C 4wo 's property located at
(Name of Property Owner)
/11111 9r ,
(Lot, Block, Road, etc.)
on w/,'qh' w1"d4- C'�s�v.9 � in CA-1 P /o-T/+NF 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.
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DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
s7q
Signature 0
Print or Type Name
'7
Telephone Number
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
pApow 19,C, AN/0 /his-A"CI ¢ AIAL-lls 's property located at
(Name of Property Owner)
,
(Lot, Block, Road, etc.)
on /,Iyev /yl�v� � in C'z-;L.1/�' To J^w/z- 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.
/Av S 7 /-)-.4[A ri o N o r' /� vt_ tr i-/r Fsv
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DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
7L/ --
2 /'Ro�'o S/rzo
STy
(Ao ?Aa-C y
Si natu e
120 4 c,rT J 14417#e ry S
Print or Type Name
agg- 061R�--
Telephone Number