15902_GWINN, GEORGE_19951204

Applicant Name
Address
City��
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k�
CAMA AND DREDGE AND FILL f19 ��' fl1902—.
GENERAL �'
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC �)%' 1 /'•!SOO
PG E
Project Location (County, State Road, Water Bo
Type of Project ActivityM
Phone Number ` 19-
.// State �C _Zip
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,ref .cis;- ra, " / �
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PROJECT DESCRIPTION SKETCH (SCALE: �� }
Pier (dock) length
Groin length
number'C,, j�4 5 irt%
Bulkhead length G / 7& ik, ^ 3 /)
max. distance offshore
61, ­­�­l 60S "
BasiW, channel dimensions xis (in
cubic yards
�0C
Boat ramp dimensions
i +
Other U��
r
tiAJ _?Q0Ti- k'F� iUf
1
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 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.
6c-) hh
applicant's signature
/ permit officer's signature
issuing date expiration date
attachments C)7/ e I_r.00
In issuing this permit the State of North Carolina certifies that�e„
this project is consistent with the North Carolina Coastal application fee
Management Program.

GEORGE H. GWINN 66-152/531
VENITA L. GWINN 16 2 3
108 ARBORVITAE DR PH 919-726-5002
PINE KNOLL SHORES, NC/28512
n DIN ()I
]DOLLARS
�AC OVIA
WacPine Knoll
Bank of North Caroni P`vN:A�S De�
Pine I�null�:i�hurJr+, NC YB.i:,-'-(�. / Q
2
1Z �C/Cll2 �/ I
1:0531OL529i: 5463 LL3130211s 1623

11
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify /that
I own property adjacent to
-)-c'0 1-2 •• S 00 ' s property
located at _t AIra-f?G rTAC E on
(Lot, Block, Road, etc.)
'ik—OL 1&4 S A,, 4 L- i n 146 Krl o L S' '4 J,2�S , N . C .
(Water Body) (Town and/or County)
He has described to me as indicated below the development
he is proposing at that location and I have no objections
to his proposal. I understand that a pier, pilings and
dredging must be set back a minumum distance of fifteen feet
(15') from my area of riparian access unless waived by me.
I do not wish to waive that setback requirement.
xI do wish to waive that setback requirement.
Description and/or drawing of proposed development:
(To be filled in by individual proposing development.)
y1/1A r�l i EN.4zIL cG✓��%i�-'� c�1- ��.�qi AAA
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ture
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Print Name
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Phone Number

r ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
0kC 6)t 64--COf►IM - 7Zl-500Z— 's property
located at _/ r->�3 Ar-R042J ITAC DeZ! JE , on
(Lot, Block, Road, etc.)
L954S1W �fAhl4 t- in 11-346 04-L N�2�� , N.C.
(Water Body) (Town and/or County)
He has described to me as indicated below the development
he is proposing at that location and I have no objections
to his proposal. I understand that a pier, pilings and
dredging must be set back a minumum distance of fifteen feet
(15') from my area of riparian access unless waived by me.
I do not wish to waive that setback requirement.
I do wish to waive that setback requirement.
Description and/or drawing of proposed development:
(To be filled in by individual proposing development.)
y
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Date
Print Name
Phone Number

i r
CAMA AND DREDGE AND FILL'°
GENERAL L63E
A 1 8 1019'r
PERMIT_
as authorized by the State of North Carolina
tlRserw�. --- __ -- - - --
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC
Applicant Name
Address
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
State
Phone Number_
Zip
PROJECT DESCRIPTION
Pier (dock) length
SKETCH
y_____._. r
(SCALE:
)
`e_LT
71
Groin length
; i
�.
`i
c
j
-
J,
number
Bulkhead length
max. distance offshore
-�
Basin, channel dimensions
i
cubic yards
Boat ramp dimensions'
I
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 fine,
imprisonment or civil action; and may cause the permit to be-
come null and void.
i
applicant's signature
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. attachments
permit officer's signature
issuing date expiration date
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee
Management Program.

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