23642_BARRUS, ALBAN; LEE JENKINS_19991115

i
CAMA and DRE
DGE AND FILL C�
G E N E R A L 2364?-C
PERM I T <a�
as authorized by the State of North Carolina
Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC
Applicant Name Phone Number
Address
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION SKETCH
Pier (dock) Length
Groin Length
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
;
cubic yards
1._
Boat ramp dimensions
Other
State
Zip
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 become null and void.
This permit must be on the project site and accessible to the permit of-
ficer when the project is inspected for compliance. The applicant certi-
fies by signing this permit that 1) this project is consistent with the local issuing date
land use plan and all local ordinances, and 2) a written statement has
(SCALE:
c.
applicant's signature
permit officer's signature
expiration date
been obtained from adjacent riparian landowners certifying that they
have no ob'1ectionc to the ro osed work attachments
p P
In issuing this permit the State of North Carolina certifies that this project
is consistent with the North Carolina Coastal Management Program. application fee

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 14 ,A) //-`-7/L/:7 tv' i 's
(Name of Property Owner)
property located at "-),IJl-a I (%v 14-rU4 S;
(Lot, Block, Road, etc.)
on e i ✓Sc ,1,✓c / , in Me /2 t h At/ r 1 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)
/�;"J (:;�"
Signature
Print or Type Name
Telephone Number
Date:

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to AIX4,1 5 's
(Name of Property Owner)
property located at '/.f © / &'V.4.Al, 5'
(Lot, Block, Road, etc.)
on a r1 i S& N A), / , in r-n,6d, /j,,/ �: � � , N. C.
( aterbody) (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)
Signatur
Z ��z
Print or Type Name
7VL -1-731
Telephone Number
Date: