15901_PATE, DEWY_19951204

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CAMA AND DREDGE AND FILL
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 NCA(- n711• t"00
y> 4/9- 78.2 - u7
Applicant Name CA.J 7 F Phone Number'`) 9/9 • 29 7- 9;190
Address �?? O• r
City State zip P 246 !q
Project Location (County, State Road, Water Body, etc.)ro�
.�v%/ ._\ �oOr_�"S - l.�r•fiGi!*�e: f Of� �S.'�+ (L�nQ
(e
015901-
UT
Type of Project Activity
PROJECT DESCRIPTION
Pier (dock) length
Groin length
number
Bulkhead length 1' '
max. distance offshore "I
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
SKETCH
" 'Reno
31S /'i f ri it(f? L
FoSc.1-U-S s,
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.
(SCALE:
'SC a
"Bulk'AEAr�
1 4't fY*,t iut J 7-
l applicant's signature
kk permit officer's signature
issuing date expiration date
attachments 0.2111100
In issuing this permit the State of North Carolina certifies that ,,�/
this project is consistent with the North Carolina Coastal application fee 7S �0T
Management Program. v

EROSION CONTROL SPECIALISTS 5191
pAToLBANTIIC BE ACH6CAUSEWAY
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I hereby certify that I own property adjacent to
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(Namb of Property Owner)
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(Lot, Block, Road, etc.)
on OC 134 S' l J% �,/ L - in P/ t�6- 91101-_( �1 i�'c�� , 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. 41
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DESCRIPTION AND/OR DRAWING OF P-ROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
s property located at
(Namb of Property Owner)
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(Lot, Block, Road, etc.)
onDC K T3AS' /Ai �,•j— , in �fr/EYDc-L Sf-loi'c�� 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 hav-, no objections to his
proposal.
DE,'=IPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
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