10849_General Permit_19920817

CAMA AND DREDGE AND FILL
GENERAL
PERMIT iNc 10849
as authorized by the State of North Carolina C &
Department of Environment, Health, and Natural Resources and the Coastal Resources C s ion
in an area of environmental concern pursuant to 15 NCAC
Applicant Na�e �L S �QP (C r Gd "�' u /1 Phone Number
Address r /L� �s� Qe,L /,.A 1Z ilk Z
City
Project Location (County, Sta
Road, Water Body, etc) _ -
State
�WAFRW�
Zip
Type of Project Activity
v4 / 0,-J
PROJECT DESCRIPTION
Pier (dock) length
Groin length
number
Bulkhead length^%
max. distance offshore 1
Basin, chanyel dimensions
cubic yards c. '
Boat ramp dimensions
Other
SKETCH
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; arrvi--r ay 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.
(SCALE:
er SP6 wu (
13e� /
applicant's signature
permit officer's signature
e
issuing date f expiration date
attachments ? i ( — / �00 1 f 1; Do
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee
Management Program.

P.L 'D � e- i L.IJ
(Namc r f Prop-rt-Y Cr, "er)
---
on 0,4 4 Alkl'6j. in A-T'.,4,k.(TIC-. N-c
(Waterlwxly) (Tr wn and/Z�Z County)
tn ire, az -,hown be'Qw, t-le dcvf,i pment I!o- i:i
tha,- location, and, I have no objections to his
r
5E*:SCR-I.PT'L"(D14 AND I"OF DRAWING OF PROPOSED DEVI- ' " L 0 P K Ei U
o f�fl
(TIP ' .d in by individual proposing development)
Ic;
L; Y 7 (A/ 0 C �
A4
Af-ek>OY,
M . Z Vl- C-k-
I i 9 - � D 1 '-7 6

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
S'E45'CA,,� 00,Va, ))M(W IOIA72 _ _ Is property located at
( Name of Property owner)
(Lot, Block, Road, etc.)
on in LAW-r(c- 1'6c-L-i , N.C.
(Waterbody) (TrZ and/or County)
He has described to me, as shown below, the development he is
proposing at that location, and, I hav@ no objections to his
proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
o)!:�' 600K14EAO +�i2EeTLy /•cl �ie���OT
vF !�7Jl► 4T/.v
-c,T,r{L LENg7H APPDX. IQO'
J.
ature
Print or Type Name
2.4- ©- S 3,0/n
Telephone Number