10988_General Permit_19930212

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CAMA AND DREDGE AND FILL <Z::�N 9
GENERAL (6f
PERMIT - 71T l 10988
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 15 NCAC % J ///7 (-'
Applicant Name
Address SD
City JZ,_
Project Location (County, State Road, Water Body, etc
0_ sf7
Type of Project Activity
PROJECT DESCRIPTION I SKETCH
Pier (dock) length _
Groin length
number
Bulkhead length
ma . distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
/° N
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.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
State
Phone Number � (/ 7?
Zip
(SCALE:
L/ U ;;Z
applicant's signature
6/11 permit officer's signature
d-/2- y3 �--_/a->7
issuing date expiration date
attachments /y CH C /14 l
application fee �rl/ ��

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ADJACENT RIPARYAN PROPERTY OWNER STATEMENT'".:
• 'hereby certify that I own property adjacent to '` =
�1= 's property, -located at
.•". • .;;.:. (Name::.of. .Pxope• owner) _ *3.=
-
K
(Lot,,.. Block, Road, .etc. )
on... in N.C.
(Waterbody) (Town and/or -County).
--
iie 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)
"'elephone Number

F 01
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... ' •'ad "V1' l v,t Y � ` �Yt V4�Y �y��t' .l 3f'Y ?� • � . n • ♦.n.'•1/��4� at t_ r .. _—..:.:�'� ��' . - — • .. '•,►7yy•..� ��n'•tlr.\•{••�'�+^�+`1*���w�y j.11 J `:Y\rHd 1\�.'.+a;`•,iw:•aV•S .:•!•�.s . r r. � ';i.=_.
' ' . .,' n•Y� • .� �PAR�AN PRAPBRTX '0�1NER_ STAT�i&1'Tf�s�s.,'•.. .... .
. ♦ ' •f �... ..t,• . � •r. . � '.- i.. T... c:N'{J:.cwT. :., .: ,_�'=..;t.F,i+'j.�;J.�./ yi:.�,i�y� •
. hereby certi.iry that Z ownproperty
adj scent:>.a
p
oext
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y:.Ioaated' at... - , f.. _L: ­
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• �� �f, .;::` ��,,� Naas o '.PM NJ
LOT 214
ape
a, Y ,. ;., . ... 4�.� • u
. ( Tact lock, Road,
on:.. , in Tawas an or: CouatyJ,-- 'y N.C.
N water Y :. _ ...
e has'.-descr .bed to me,, as shown• below, the development he
proposl�o at that:loeationt.and►'I have no objections to U. M
proposal.
��r1■wrlw�,ra•w■.1•�wrr���w�..Mrr�rwwwr�l/+Mw1■w�rMl.wMw rw.■r!•F �rw r^MMM•••ww �.■ , '.
DESMIETZON D OR'DRAWING DF PROPOSED DEVELOPMENTS
(gyp be filled ta by Individual. propastng development)
Signature .
L L GOLaD&
Print or Type Name
Te ephone Number