10882_General Permit_19920824

CAMA AND DREDGE AND FILL
GENERAL
PERMIT' V0
10882
as authorized by the State of North Carolina (o
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC ? f 1 !! Or)
State Road, Water Body, etc.)
Type of Project Activity 1 �,
PROJECT DESCRIPTION
Pier (dock) length
Groin length• YV
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
SKETCH
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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.
Phone Number / G — �0
Zip ?s' S %
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applicant's signature
d, e��A
permit officer's signature
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issuing date expiration date
attachments / /f G 7,61 A!�' U
In issuing this permit the State of North Carolina certifies that � e�/�� / v
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
JAW V�1►�� ►�
(Name of Property Owner
I S AnLLY Lr
's property located at
"' c (Lot, Block, Road, etc.)
on U E J�t1 �.1 i� in N� OREAJE1JT---) CA-T'i . 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)
76 'PLX-E- LOoSF- 8R►CK �Rm�t ,� �tiSrv►q�TtEn� �iRE1PlACF� o►s itk SQUiNS\ OF
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Signature
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Print or Type Name
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lephone Number

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
TA►.1 �/\%tLL�s ' s property located at
(Name of Property)I Owner)
4S 15 }ULL`( L-
(Lot, Block, Road, etc.)
on -I�OG-UE- in 1'�i�bRE��E/�i� LT4 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)
'TO MAC% LOOSE- --i�RIcA T—% vM A 'DtSMAtJTL�� F�REPweE Ors 1t�T� S r�Si� O,F- -ME
seAWA. . • —V4v wwL ► u-; C'.Or.3r4W Au`( AArJC,—� 126US vYM�T�jRt�L, �E.Gc. Asf I' STOS>
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Signat
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PrintType Name
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Telephone NL4nbef

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