16346_MCLAMB, LEE_19960708

Applicant Name
Address _1—
City
CAMA AND DREDGE AND FILL
GENERAL
PERMIT
91SJ 016346
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
Phone Number 2 42
Project Location (County, State Road, Water Body, etc.) fag
r
Type of Project Activity C' h! A ✓ ,
PROJECT DESCRIPTION SKETCH Ce
r
Pier (dock) length
Groin length
number
Bulkhead length
t1,�
max. distance offshore
c'1�
State
4tef C
zip 9
7 di % ;'
0
6-
IP d
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� < (SCALE:
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Basin, channel dimensions /
cubic yards
Boat ramp dimensions Nf'k � �� '" r 4j
Other
I nls permlL IS SUUJeCL LU GUlnplldfll.e WILII LIM, dPP1A dUuf1, !>iLc
drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine,'
applicant's signature
imprisonment or civil action; and may cause the permit to be-
7
come null and void.
This permit must be on the project site and accessible to the
617 permit officer's signature
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
issuing date expiration date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
r,- 7 I �?
objections to the proposed work.
attachments
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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ELTON W. ELLIS JR 0978
NC 1855620 PH 919-726-6775
P O BOX 691 / 66-1521531 CC
ATLANTIC BEACH, NC 28512
Pa To The t /
Order Of /V
D 1911z
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Wachovia Bank of North Carolina, N.A.
Pine Knoll Shores, NC 285,67 //��//��
Merno G ¢ "' �' l7 !'l
1:0 5 3 10 15 291: 5464 1 17 13 S111 09 78

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ADJACENT RIPARIAN PROPERTY OWNER STA
I hereby certify that I own property adjacent to '�t�i
(Natne of Property Owner)
property located at - 4
(Lot, Block, Road, etc.)
on , in
(Waterbody)
(Town and/or County)
N.C.
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)
0
Print or Type Name
r) L1�1- 7a4- 64-�y44
Telephone Number
Date:, f 96

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to J' u e.l V )�) % Le.e. fie- L-"b 's
(Name of Property Owner)
property located at )VS 5'-006,u-e,4 10f�L
(Lot, Block, Road, etc.)
on , in , 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)
SPec x)
%�gnature�
Print or Type Name
R\1� - 9a.-91 U8
Telephone Number
Date: ►.(-- -,A - -) �'-

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