15939_MOONEY, LUCITA_19960131

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CAMA AND DREDGE AND FILL IS 015939
GENERAL ..- _ C
PERMIT kv
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the a Coastal _Res�urces o son
in in an area of environmental concern pursuant to 15A NCAC ! ' 1 `� �?
Applicant Name �' _n
Address _77.
F- ,° 5 d, ,- cb /''
Y
Prp ect Location (County, State Road, ater Body, etc.) l
Type of Project Activity
PROJECT DESCRIPTION
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
SKETCH (�_ '�,/'7'4
Phone Number 71 % ri n k/ � / r' �
State-`-
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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.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
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issuing date expiration date
attachments 4/, r 14 f 1640
application fee

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LUCITA L. MOONEY 4-95 57-1/115 107
256 LAKE SHORE DRIVE
PASCOAG, RI 02859
C, �C-1593 Fleet Bank
2,000
rovld e, Rhode I land 92903 r
�:OL1501 OL01: 9391,9 621,4411' OL07

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 's
(Name of Property Owner)
property located at j BA YVj 4AA) D r -
(Lot, Block, Road, etc.)
on rn d uTN f3 A!$ in LIAn�tes rs Lg.,Q TwP QAly r rz.t� ��, 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)
CZt`gML" '�" �1ZCbGJ.WG/l+N %AS/AI
Signature
J�AA- " t / P (Ji,. C/,As-aI
Print or Type Name
Telephone Number
Date: / - ') 4 - ) z

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to � ; I t,",- iYt 4-62-k LK h)e) 4:' i!)tt ,s
(Name of Property Owner)
property located at )L1 ( 4 i CLZ�' p" : ,
(Lot, Block, Road, etc.)
on ���cS� c� iC'I" $A , in Li-ti o'fµ;p c'�w �i . G,�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)
G
�(2 �D
Signature
Print or Type Name
Telephone Number
Date: / — -fi b 2