16342_ROBERTSON, THOMAS_19960701

CAMA AND DREDGE AND FILL AL 6342
GENERAL
PERM i T
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 f /L► 1'
Applicant Name
Addresity Al._,,r''.� C�
Project Loc?Ltion,County, State Ro<
Type of Project Activity
Phone Numbers
State" C. zip s f- `Y 17
Water Body, etc.)' �-- o ti- C r:' �. ,. c, s✓ �/
PROJECT DESCRIPTION SKETCH 1c,,, /9I
Pier (dock) length
(SCALE:
Groin length
number ....t
BulkFjead length
max. distance offshore r f ' /i �!✓�,, C', C JC/) %/I �.
_yy
Y,.
Basin, channel dimensions y�
cubic yards
Boat ramp dimensions
Other � y�
1 f 1i X� 5f17f
1-6
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.
attachments .,,(,
applicant's signature
�j permit officer's signature
issuing date expiration date
In issuing this permit the State of North Carolina certifies that / )
this project is consistent with the North Carolina Coastal application fee•
Management Program.

7'HOMAS
H.
ELLq ROBERTSO
NCOL 1 as ROBERTSO
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KERN' NC 28560
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to �� t�A^./�S J� f 444 e' Avd I
(Name of Property Owner)
property located at 2 9 J2PA-e%` AV PG z r I r /� c�--oc
(Lot, Block, Road, etc.) 1
r
on _1U ec;�5 �' �ty P , in V,/a.,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)
Signature
Print or Type Name
'-f 19 3
Telephone Number
Date:

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to % `'Q, K ,11. 5 g . & Le y -I S D t'v I
(Name of Property Owner)
property located at %V o c k . , 1 �►°�V C' � b c° , /U.
(Lot, Block, Road, etc.)
on & q 5 e f� v P � , in GyVI P,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)
ignature
Print or Type Name
(�919/ -�(47 -
Telephone Number
Date:
'T