16370_MILLER, DON_19960802

e
V
O
9�
CAMA AND DREDGE AND FILL iE��' 01630
GENERAL
PERMIT Al hl,�, I rl,�P(f r� -
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
Applicant Name
Address
City � Ci7 �! r Or
Project Location (County, State Road, Water Body, etc.)
Phone Number 9/(', i d 2 - "1V k K
State % Zip
E / f -� �' r, �, Si 4
Ty e of Project Activity Y
y Y
el 1 r / _.P 4- (w
PROJECT DESCRIPTION SKETCH � ki P 7 A
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
B in, channel dimensions
R
�' Pf. +:f
cubic yards
Boat ramp dimensions
Other
(SCALE: `� f% _ )
r� � f. l 1 � i rl l (r / ��� �j . `• r./ l J � � .9 / -1 C,� ,'l _G � 9 � a • %' 1 ii � J � �
✓ I...Y. _� ..� r f, 11 r n 4, 1
half he,-
,
9
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.
applicant's signature
permit otticer's signature
issuing date expiration date
attachments J f
In issuing this permit the State of North Carolina certifies that /^Ao
this project is consistent with the North Carolina Coastal application fee ? t'�J
Management Program. �_ _ � ! � n �V�,`�. 0
)s �% j

PAY TO THE
ORDER OF CAMS
BB&T
BRANCH BANKING AND TRUST COMPANY
WILSON, NORTH CAROLINA 27893
F2755-000 Don Miller ,-- Cl rec�
MEMO a pen-n 1
r PC- 6 3
2823993
ISSUING BRANCH Morehead City, Main
BATE 26 Jule 19 96 66-11 2153 1
*50.00*
I I
DOLLARS
AUTHORIZED rNATO
II'28239931ll 1:05310LL20:LOL90L009711'

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 3)M-41, Ilecs
(Name of PropertjkOwner)
property located at kots.
on
(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)
Deep
S
_ _ _+
oq�fi AO 7,070/c
too
Print or Type Name
Telephone Number
Date: —2 :? ,�z
— 9�j

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
MD OW VA'b lie* S
(Name of Property Owner)
property located at Lo7.s CA 41
(Lot, Mock, Road, etc.)
on �i Al ,AnANI Ii ���� , 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)
;P-�
0C- �
Go N47C
. boo •
Sig ture
"-)(?"
Print or Type Name
��
6
Telephone Number
Date: �_ _ _ &.