Purcell, Art

❑CAMA / DREDGE & FILL No. 75216 A B D
GENERAL PERMIT Previous permit#
,[�*w ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit
is/sued
As authoriz d by the State of North Carolina, Department of Environmental Quality (/ J ' ; �: ��
and the Co%tal Resour s Commissi rt in an area of nvironmental concern pursuant to I SA NCAC / ��' -
Rulee s ttached.
Applicant Name J'" / ` 1 ` r ' I - Project Location: County W
Address CT J (3 (" J, _, r { Street Addr� s`/ Stat<�( Road Lot ##f-),
City -fl /' State A,1 rZIP '{�J ) ` 6 d 1 I� - i'Y l"
Phone # ( ) E-Mail Subdivision
Authorized Agent
Affected DCw ❑EW PTA
AEC(s): El OEA ❑ HHF LI IH
F Pws:
ORW: yes / no PNA yes /
Type of Project/ Activity
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A building permit may be required by: '% / C Gf " V
( Note Local Planning Jurisdiction) ``
Notes/ Special Conditions / J fa
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Agent or Applicant Printed Name
Slgna er "Please read compliance statement
A ication Feels)
Check #
❑ See note on back regarding River Basin rules.
Permlt Off 4r' rjnt�me
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6 pira ion Date

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ADJACENT RIPARIAN PROPERTY OWNER
STATEMENT FOR CAMA MINOR PERMITS
I hereby certify that I own property adjacent to 68WA A/O ARW4Ir_ AW-4fl L—
(Name of Property Owner)
property located at 29 A.lAMW P1. C& _,
Address, Lot, Block, Road, etc.)
on /Visdo gzzagP in -.J&C—r4W V/LG& /QNS4W , N.C.
(Waterbody) (Town and/or County)
He has described to me as shown in the attached application and project drawing(s), the development
he is proposing at that location, and, I have no objections to his proposal.
(APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED)
Signature
9�o sys o�s�/ c in, ;_,_t ►/P
Print or Type Name
q)n- 5T9 -335-7
Telephone Number
a-1-J`
Date
D'j a rw` 90"
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-7-1-1019

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CAMA and DREDGE AND FILL gOg"C
GENER,A'L
P_ E R, M I T
asauthorized by the State of North Carolina
Department of Environment and Natural Resources and the Coas4l Resources Commission
in an area of environmen al concern pursuant to 15 NCAC (s +\
Applicant Name i . v6 ( t Nam, . f� Lc r t . 't' iAt/T7_ Phone Number �S/U 1 ' / % - 6p0q
Address Cl I%, 7• Piw E <
' Cityl�R—��Ll 1+.c
Project Location (County, State Road, Water Body,
Type of Project Activity < rs
State ` i t Zip i; s5 v
.
son
Bulkhead Lengtli
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Basin, channel dirmmsiomi
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cubicyards-
Boat ramp dimensions
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
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.
applicant's signature
• rmit ofricw% signature
issuing date expiration date
attachments
1 , ,, /'i, , , p N.' '(/ (I/l1: i/ar,nt
application fee

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