Lane, Billy 77001C

! CAMA / f] DREDGE I FILLGENERAL PERMIT
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As authort ed by the State of North Carolt
and the Coastal
na, Department of Environrnenal Quality
lsslon area of concern pursuitnt to ISA NCAC
Proiect Loetion: County
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A buildint permit may be required by:E s""on back regarding( Note Local Planning Jurisdiction)Basin rules.
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ADJACENT RIPARIAN PROPERTY OWNER
STATEMENT FOR CAMA MINOR PERMITS
I hereby certify that I own pmperty adjacent to
Property located at otd SE
on
He has described to me as shown in the
u Lut
( am. ol Property Ouvner)
4
Addrrss, Lot Block, Road, stc.)
in A TLan t "
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fr/n , N.C
County)
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he is pmpogng at lhat location, and, I have no ot ections to his proposal
(APPLICATION AND DRAWNG OF PROPOSED DEVELOPMENT ATTACHED)
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Signature
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Telephone Number
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Date
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RECENED
JuL 14 20?0
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Print or Typ€ Name
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ADJACENT RIPARIAN PROPERTY OWNER
STATEMENT FOR CAMA MINOR PERMITS
I hereby certiry that I own property adjacent to
property located at otd USE
tll LA
4
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tnon
Addrsas, Lo[, Block,Roed. otc.)
A Atrfra I r'atl N.C
(Town andror County)
He has described to me as shown in he attached application and project drawing(s), the development
he as pmposing at that locatrbn, and, I have no objections to his p{oposal.
(APPLICATION AND DRAWNG OF PROPPSED DEVELOPMENT ATTACHED)
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(t{.m. of Proporty olrvner)
RECEIVED
JUL l4 z0z0
DCM-MHDCITY
Date