10830_Howard Bohannon_19920721

CAMA AND DREDGE AND FILh�
GENERAL
PERMIT 7`0 10830
�eP
as authorized by the State of North Carolina �'�
Department of Environment, Health, and Natural Resources and the Coastal ResourceNom mission
in an area of environmental concern pursuant to 15 NCAC % t / _ // Oe9 p
Applicant Name ���'-�'►^�`-^� Phone Number
Address inn y 6 �' Sti
City, State zip_? » z'
Project Locati n (Copoty, State Road, Water Body, etc.)
Type of Project Activity D _ w- C a'g
PROJECT DESCRIPTION
SKETCH
(SCALE:
r
14/
Pier (dock) length
Groin length
number
Bulkhead length
r4-
maxdistance offshore
.
Basin, channel dimensions
/L J-
cubic yards
I
Boat ramp dimensions
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 fin(,
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.
t
/ applicant's signature
permit officer's signature
attachments -
a�-�� / �/
issuing date expiration date
In issuing this permit the State of North Carolina certifies that LAG
this project is consistent with the North Carolina Coastal application fee - f' e
Management Program.

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
-�owR�c� rs property located at
(Name of Pr�operty Owner)
t
(Lot, Block, Road, etc.)
on CANAL o�v o� Wes+ (Y1mu-4�-� '+ `. _
C�l , in 1�0.rlVt�� 1S60r , N.C.
(Waterbody) f(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)
Signature nn
�o3k z,\ L
Print or Type Name
Q1 q -7� i Ij?Qi
Telephone Number

ADJACENT RIPARIAN PROPERTY OS,'NER STATE[2IT
I hereby certify that I own property adjacent to
PO C . &.M lo' o Is property located at
(Name of PropertyOwner)
%
(Lot, Block, Road, etc.)
oaml
onin I�rn«��f2�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)
D T
� x
I o- V ; n a� ' �ukv�4�
A
Signatur9�/
./, Yv r/J C- �r—�G'4
Print or Type Name
Telephone Numb r

�- 2i- 9 Z
��
�ao9�

,.-u�._._�T.R._��+-t�� �. - it � -�
�` _� . .
,w
k� � � _
�,
3 �� �
� -fir .. _ _ >. • ,. ,�-� ' - �-- �