25532_COX, JEAN A_20000519

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CAMA and DREDGE AND FILL P,55532
G E N E R A L
PER M 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
State
Phone Number
zip
PROJECT DESCRIPTION SKETCH
Pier (dock) Length
"';,
(SCALE:
e
,9
Groin Length
number
Bulkhead Length
max. distance offshore_
r
I
Basin, channel dimensions
j
I
t
cubic yards
Boat ramp dimensions
OtherIt
(
i
s
L;E
�
j
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This permit is subject to compliance with this application, site drawing 1
and attached general and specific conditions. Any violation of these terms / Y
applicant's signature
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
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.
In issuing this permit the State of North Carolina certifies that this project
is consistent with the North Carolina Coastal Management Program.
issuing date
permit officer's signature
expiration date
attachments
application fee

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to/Z. v 's
(Name of Property Owner)
property located at y c (AJ %V,/`z -C&
(Lot, Block, Road, etc.)
on /}/'evSc Zj-Lll l' , in L—l?A/), /.:` 6 a lD , 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)
5
V 3
/Q`Veol /,&O v'VS e e.
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ZOL /-� 2-9�-
Signature
Print or Type Name
';� s';?- - 2 '�-
Telephone Number
Date: / /

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I_ hereby certify that I own property adjacent to iT IC-x /V L o ,?< Is
(Name of Property Owner)
property located at (At/ IVal?'C&
(Lot, Block, Road, etc.)
on /y�yScf"I/i� , inA� 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)
A-
/icenP-)
. .O� G� Gl/ iur�..��ry�� ,,'—� - • ' 3
SL
/1 i, i� �-. r-„-,�-�.---v---� -� ."7'-Yti1-ivy-ll�-�-7---�--�--�-,-�--�-•�7
Signature
Print or Type Name
2 5,2 - 1.4 Yf A/
Telephone Number
Date: $ - // — G7 0