16918_SHEPARD POINT BOAT COMPANY_19961010

CAMA AND DREDGE AND FILL 'v
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 NCAC
Applicant NameIDArclPhone Number r�-�� "' -2 �'a t,
Addr�s 4' Ate.
City ore tA► State Zip Z(1; C-1�.
Project o pion (Count ,State Road, Water Body etc
L7
Y l V }k
Type of Project A' vity
PROJECT DESCRIPTION I SKETCH
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
asin, channel dimensions
0 �� . 4�kY°X 32Y_4
cubic yards
I 3r� ckr #
Boat ramp dimensions
Other
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:
NEW
—� applicant's signature
permit officer's signature
issuing date expiration date
attachments kS [-\ ""3(-.(\" c �A . is
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
application fee`+✓! sn-

SHEPARDS POINT BOAT COMPANY, INC.
DBA RUSSELL YACHTS
P. O. BOX 3488 PH. 919-240-2826
MOREHEAD CITY, NC 28557
PAY
TO THE
ORDER OF
/ 6685
DATE
4 2/v.� 531
DOLLARS I7,."m
nt "a MIA-
.�Mvorehead City, NC 28557
FOR
11'0000 380911' ':0 5 3 1008 50l:0 28 20 20 5 L911'

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(,FBI )
I hereby certify that -I own property adjacent to
located at
t, Block, Road, etc.
's property
nN . C .
-1W ter Bo y) (Town and/or County) T
He has described to me as shown below the development he is
proposing at that location and I have no objections to his
proposal. I ck -u minimly3i
a acjz s s
I do not wish to I PR"4�'=«pit
I do wish to waive that setback requirement.
Description and/or drawing of proposed development: (TO BE
FILLED IN By INDIVIDUAL PROPOSING DEVELOPMENT)
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11 J-J-,J I A -,k
Si nature
Name
Phone Number

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