HomeMy WebLinkAbout26160_BOAD, DALE AND GLORY_20000708CAMA and DREDGE AND FILL B 1
I
-t G E N E R A L
PERM I T
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
Address
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION
Pier (dock) Length
Groin Length
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
State
Phone Number
Zip
itC t - /..:/ , 1/ . rereIr. I/- __ 1
This permit is subject to compliance with this application, site drawing
and attached general and specific conditions. Any violation of these terms applicant's signature
may subject the permittee to a fine, imprisonment or civil action; and �� 1
may cause the permit to become null and void.
This permit must be on the project site and accessible to the permit of- permit officer's signature
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 expiration date
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. attachments
In issuing this permit the State of North Carolina certifies that this project r '
is consistent with the North Carolina Coastal Management Program. application fee
2900
88-1538/2501
DALE M. SON[)231-76-s6o8 %
OND 0994
223-78-3330 pate 1
607 COUNTRY CLUB DRIV GLORY J. BE 252 249
NC 28510 ���< Q Q
ARAPAHOE, $ �7
Pay tothe / Dollars
Order of
New Bem,
NC 28560 .---
For �• L080 L 2 2 2660611' 2900
1:25317538t+ •
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r.m . A V rrC�r'J`r
;;;1.!`r,r.h Rtl'A)RIE�IN PROFEFF ' t; y:� r� u e.
...h„ r�riev that } own psoparty a4l4ceni to
nrinlr t1` I({1ii11Y11 i<t .wigLq ' , , .. 1 �. 1
A
lry acerb-Od J
,�. t.a� neteritre� to me as Showh below, the develapmGctt he'IS PfG'yv=„tg a...
gild,I havti 114 O JG:CiiOtiS ti3 hi; , rn sa►,
,....,r, nancFn T1F.Vi� LaPNiiNT
M7SCRIPTION ANDIOR LMAYVINU vli rAWI W.,--
,To brfilled "a by individual prpp®sinx +.V.••"r ..
f
i"7% . I t~ At /l A !t R If I I
_ . ...............
5ienatute
Privy or Typr NIMe
! is a f �(
1'elepr,��re ^dumtxr
Date;
-29-•
r
11/ I tV 1`_'iy 11'2; 11 1 I 4�44�6
trvi 114'-1rCl- I . UND
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
l hereby certify that 1 own property adjacent to -- —
(Nuirle of Property Owner)
property lotted at
(Lot, I3l ek, jR9., etc.)
in CA N,C
(Waterbody) (Tow and/or County)
He has describe4 to meas shown below, the development he is proposing at t".1t. 1":ation
at)d, I have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DFV.FI.OPINIENT
(To be filled in by individual proposing development)
lvewse-
6
-29-
Signature
Print or Typ"me
Telephone Number
Date; U — 2.5----