15987_KIRSCH, WILLIAM_19960519

AMLIC (O•
III
CAMA AND DREDGE AND FILL ' 15987 C s
GENERAL
PERMIT
as authorized by the State of North Carolina
�d
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC 0
Applicant Name /J'//.. Phone Number 15/46-26,�" P�
Address . _re1rf*, •/r /c7'Ficx '
City r%✓s,r � el State AJ C/ zip
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Project Location (County, State Road Water Body, etc.) _ r.; i r� c.. o ' &4"'• !
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Type of Project Activity r�+rt�a� /f �. ��4 r ta��►' rJ1 �� �3 �'� " S�ic�eu®>I
15/eOX6.11., 7,, t� /eTSTl1 /%r lT:C�Ur%i�,ii /�• 1•rr.:i,r
PROJECT DESCRIPTION
Pier (idoek) length
/c) +Jx, :ak:iitr,
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
SKETCH
I- (_err e
fin• � Y��.
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.
'It
31.
to
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applicant's signature
a
permit officer's signature
issuing date expiration date
attachments C).7 • /00c�
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee�%�
Management Program.

BROAD CREEK CONSTRUCTION INC. 6195 1332
112 Creekview St Ph 9I9-249-0523 66-30/531
JJ Merritt, NC 28556 3 �/
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61 HARLANR
SIGNET

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to (j J1 / � U i' �C f� 7 s
(Name of Property Owner)
property located at QuiR> jc� �a Al
(Lot, Block, Road, etc.)
on 9A CC2ec% , in 1q6/LeADCt '- RZA4itcc, , 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)
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Signature
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Print or Type Name
Telephone Number
Date: 6� - ,--z G

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to is
(Name of Property Owner)
property located at I / l?( i% / '#3 ,
(Lot, Block, Road, etc.)
on C.?e ck , in Aa cxc P Gd , 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)
D4"; � I C� " APP120A, DI" evsll,J
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ature
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Print or Type Name
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Telephone Number
Date: 0 27 96

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