10790_General Permit_19920615

CAMA AND DREDGE AND FILL
GENERAL
PERMIT �, _ C 4 1
as authorized by the State of North Carolina C �`
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC 7 %1 it D O
Applicant Nam
Address
City
Project Location (County, State Road, Water Body etc.)
Type of Project Activity a Gl --9 � 't
State W. r
Phone Number 7 2 �( — S—C) k S
Zip P1 ? 573 &
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PROJECT DESCRIPTION SKETCH (SCALE:
Pier (dock) length /•� �1
Groin length O
number
Bulkhead length 9,0/�"
max. distance offlihore !T-a�uc�w►"
Basin, channel dimensions
cubic yards
Boat ramp dimensions
C-
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
�- /5 '9�Z 2-/9'-/-)-
issuing date Fexpiration date
attachments
In issuing this permit the State of North Carolina certifies that �tJ U ,�
this project is consistent with the North Carolina Coastal application fee
Management Program.

ADJACENT RIPARIAN PROPERTY ONNER STATEMENT
I hereby certify that I own property adjacent to property owned by Roland
FdWard R Janat. HiighPC Steed- , located at Wind Dance Lane
(applicant) (street address).
Block 3 Hammocks Point, on Intercoastal Waterway in Swansboro,NC
(block #, lot N) (water body)
He has described to me the development he is proposing at above location and I have
no objection to this proposal. 1 understand that a pier must be set back a minimum
distance of 15 feet from my area of riparian access, unless waived by me. I do/do not
wish to waive this setback requirement, should it be requested. (circle one)
Description/drawing (done by the individual proposing project) of the proposed project.
�?tlSTlll/es- 44-p-2 4y o u Fes; S 7- S /o o /c:: T
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Signature
Robert J. Valente
Printed name
111 Wind Dance Lane ,'
t 05 w t U i�) L-VA
Street address
Swansboro, NC 28584 '
City, State, Zip
326-3377
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