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CAMA and DREDGE AND FILL J. _ 2636r-
G E N E R A L
PERMIT
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 -)�/ . /5 1`' --)()'-' "-/'//c) `
ty
Applicant Name '\3 ° ,(- lt rr. ° "- i, '---A(-1, (" Phone Number
Address ' Vi N. QI v I C t^/' N
City S.-A'(le'c,ONJ1`\ -e \� _ State N C Zip d 5 7 0
Project Location (County, State Road, Water Body, etc.) Ca'- 7 (yq DinAC/( A-(/2ff fie)
Art 14-0"A 444/v-p%44 rye Con, 4 f otiSA v" (1L
Type of Project Activity ot)..'t 4.;(`-, r & A l 1.+ 1 d 3,A(ti< t)
PROJECT DESCRIPTION SKETCH (SCALE: / ..Do / )
Pier(dock)Length_ E _ ..._.__ . . _ _ Ell
1111
}
Groin Length - __.
number
Bulkhead Length
max.distance offshore
Basin,channel dimensions
.....,. s...._ ........_.........,_.�.._... ..._.».......,..._- __ -t a ... ,.. • _ _ . o
cubic yards I
' # r
Boat ramp dimensions O ,, j;
other e u a l L t C / __FIi
iFI
, +
i> IP
Illa . - - - a -.- ' j"- i''''
This permit is subject to compliance with this application, site drawing X I.'
and attached general and specific conditions.Any violation of these terms t-\ applicant's signature
may subject the permittee to a fine, imprisonment or civil action; and I -I_ ,
may cause the permit to become null and void. -
This permit must be on the project site and accessible to the permit of- i permit officer's signature
ficer when the project is inspected for compliance. The applicant certi- 0 ?- ,,�- o I ()6- o-D I
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 ' N ' 000 -/N - /SOL) 1 4 . IN .
have no objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that this project 1/J0O • Gv (/t' '
is consistent with the North Carolina Coastal Management Program. application fee
•
•
• CODES FOR AEC DESIGNATIONS
"OH" - Ocean Hazard "PT" - Public Trust
`EW" - Estuarine Waters - "CW"- Coastal Wetlands
"ES" - Estuarine Shoreline "FC" - Fragile Coastal Natural/Cultural
"PW"- Public Water Supply "OR" - Outstanding Resource Water --
CODES FOR PROJECT
"P" Private-usually an individual "F" - Federal
"C" - s Commercial "L" - Local Government
"U"- Utility "H" - Housing Development
"S" - State "0" - Other
•
# CODES FOR PROJ DESCRIPTION
"11" - Bulkheads,Riprap "16" -. Utility Lines
"12" - Piers,Docks Boathouses "17" - Emergency Repairs
"13" - Boat Ramps "18" - Beach Bulldozing
"14" - Wooden Groins "19 - Temporary Structures
"15" - Maintenance of Basins, Channels,Ditches ----
GENERAL PERMIT COMPUTER FORM
APPLICANT NAME: 0 '11"ywp s o"
ADDITIONAL NAMES: to,e ,eA Y rl tit,((e/-
AEC DESIG: E St f w t p r DEVELOP AREA:_0 ,o PROJ DESC: P - S—
(Will only take 6) (Will only take 1)
WORK: 66 9( .(a, 3rnc-L- 60 70
(Will only take 4) 'Ya u
MAINT:
•• (Will only take 4)
IMP: - & t 1 °
(will only take 6)
ACTION EXPIRATION
DREDGE&FILL REQUIRED: 6 e3-y0-6 0-6- 0
-d f -)(
CAMA MAJOR DEVEL REQUIRED: 0 3 0--6) C)(o -a 0 -o
1-1 3-2000 5: 1 5PM
FROM
P- 1
6-..;•Pri65: 6 \
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• ADJACENT RIPARIAN PROPERTY OWNER STATEMENT':
i A i k 0 07.6.2s7- .0(..)
I hereby certify that I own property adjacent to ..A#1..),9-•• . ..._. ' —/ —
• (Name of Property Owner)
property located at L e.) 74- 7 CA./AA-,•-e-'4. 0-kti C7,9-•4./4 1 1
• (Lot. Block. Road, etc.)
. •on "7:-c- 1/4-)(-- /V7-844) 43;4°-Cr.- itx-c__,I. . 5 PLA-.4.41.-- 1----ep....--N.c.
(Waterbody) (Town and/or County)
He has described to me as shown below, the development he is proposing at that location,
. and, 1 have no objections to his proposal. • . •
. .. , :-.;:.• - , c , pi j.„. ,S,S-i3r,‘c ...e.
. - IS c-c. 5 ; i" 'Li F 1.. il&f. /i'< it-;/.e 4
•
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing•devolopment)
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i Signature
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Print or Type Name
7/O 9 -)-- '
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Telephone Number
C-91
Date' 3 --..2 5-----
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ORDER OF C_.' — • -- !hl ,,.•I' -! . , ,. SIGNING YOU AGREE TO Th;E
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of. .1.,_tiEsS ,1 ' ,, ' '•: :• ,1,.._.
. . - ..-• I ••••• ED• pR S NFATIVE
I. Western Union Money Order and Design is a service mark of Western Union Holdings.Inc.!Payable at Wells Fargo Sank Grand Junction-Downtown,NA,Grand Junction,Colorado
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