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HomeMy WebLinkAbout11770_BROWN, CAROLINE_19930421O CAMA AND DREDGE AND FILL GENERAL PERMIT .. - 1. � 9 1171i as authorized by the State of North Carolina Qepartment of Environment, Health, and Natural Resources and the Coastal Resources Commission in an area of environmental concern pursuant to 15 NCAC Applicant Name 1'C.,L ' fV 1_ Lf ( (_ i"% Ky /l1� Phone Number Address '.1' Z / A,Eucu�� city dl i< _(� r';I r St t /li( Z. Project Location (County, State Road, Wate Type of Project Activity Body, etc.) — PROJECT DESCRIPTION SKETCH (SCALE: ) Pier (dock) length Groin length number Bulkhead length � d max. distance offshore J� Basin, channel dimensions cubic yards 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. applicant's signature r q permit officer's signature —7/ issuing date expiration date attachments Z 1.10 U In issuing this permit the State of North Carolina certifies that this project is consistent with the North Carolina Coastal application fee Management Program. T r `lil� �r����rl,liS 1'i)Srr kl.A -NlO\j'i h l)�muli 15000 _. t�5 ITN 47946721871 930330 285570 POST OFFICE U. 5. DOLLARS AND CENTS SERIAL NUMBER YEAR, MONTH, DAY �,.� d I,• N `••I �I CHECKWRITER p • `,,,, 1IWI �,.r. ».•.• •»» PAY TO IMPRINT AREA FROM ' ADDRESS AD�SO �r Cop No. NO. OR Cw USED FOR -- 1,00000800 4 7946 7 2 L8 7 ill' ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to CAR-011'rye AG{'_ &ojtj 's property located at (Name of Prlo rty Owner) �Q n- UwN Sb L,p S Cdw �t ROL. C Now �INA ( Lot, Block, Road, nnetc//. ) on P-e- s�Rl�eg_ in 1AM/ Cd Co. , 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 p posing development) Signature /lo,Oe-eJ i� �-,4M11kt,)0R Print or Type Name 9, 4 - 0� q07 - U sa % Telephone Number ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to Cg2o��Ne COAP'4&P. P-deAw") 's property located at (Naive of Property Owner) %o UJ ti S � 1,40 'V 5 0060RQ( (AJow C- W ' A (Lot, Block, Road, etc.) �.us� RlJ"'z in '1�M�lCU on NCD , 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) '-' /3UJ ja-46a-,Q- Siignature '� n Print or Type Nam Telephone Number