10848_General Permit_19920811

CAMA AND DREDGE AND FILL -,
GENERAL
PERMIT NO. 10848
as authorized by the State of North Carolina VIP
Department of Environment, Health, and Natural Resources and the CQgstal Resour"stCommission
in an area of environmental concern pursuant to 15 NCAC
Applicant Name -r rr r`4JA-- Phone Number
Address / , / ! < �.f �:�:� I,`>
City Of Ir r tn1 1 State %�'� zip
�� AA r' '
Project Location (County, St to Road, Water ody, etc.) ry
,r
Type of Project Activity
PROJECT DESCRIPTION SKETCH ` (SCALE: )
Pier (dock) length
length
l
Groin g _ �fFt+�/ i�jt� 1�► .�Ir�. I /
number
Bulkhead length,
max. distance offshore
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.
applicant's signature
permit officer's signature
issuing date expiration date
attachments / /-/ I/i ' (k -
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee_
Management Program.

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
J • XyA s property located at
Name of Property Owner)
, 07- 4'1
(Lot, Block, Road, etc.)
on 414A)g4-,)c t74,JaL-- in 04.w4P T Tay - �Ev C'o. 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.
-----------f,i�;�%/a��gTo�l- - ---e�4z -----------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
1% S' ' 4 4r) P.+,3 AL
Signature
Print or Type Name
Telephone Number

��-�,� �o,d/�
c,�m� �-���,

M a • R
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
Ko4c�T a /Og'T%f4u0 5 's property located at
(Name of Property Owner)
/07 y7
(Lot, Block, Road, etc.)
on iYI4-J M,+w 614,j 1 L in CqhP .!n JRnlz - Lj m - ,
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.
�_
-------------��3Tq�Lnio✓ vi �v�lc%14� ----------------------------------------
-
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be fill d in by individual proposing development)
�7
ignature
ervAOoN . '�g_C . '/' /Z w �S
Print or Type Name
(514) rF-I _ 3 9'S2 ('?/
Telephone Number