11892_CROSS, DOUG_19930630

,7'+i.'►�+-+` _ ..""_"�r°r"g„ �.�+t+�-c•'ir �fu�€� i � . s $�` �y »L-. _ xypii R' �a :'�ye3e::. t- �� i... , ... �,_ .. .. .. ,.� .X::..u. ..
i t • �
CAMA AND DREDGE AND FILL
GENERAL 0
I
PERMIT P
C7))
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 ; i i- U
Applicant Name /��' ! C
Address
City
Project Location (County, State Road, Water Body, etc.) _
Type of Project Activity
PROJECT DESCRIPTION SKETCH - � ) c__
�; i t i Z
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
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.
State
attachments
Phone Number
Zip
(SCALE:
pplicant's signature
,W
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
Management Program.
application fee

t
LAW TRUCKING SERVICE 1415
' P O BOX 241 119-145-1185
MERRITT, NC 28556 66-301531
19
Pay
The Ord
kpjlD rx A
la,s
FIRS Q IZENS bIANK
First -Citizens Bank & Trust Company 471
8ayboro, N.C. 28515
For Q PC - II S Q`
o?
1:0531003001:47110.2036lit' 1415

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
( )
I hereby certify that -I own property adjacent to
's property
fZ A1T
located at 1, 64e �q'
, on
(Lot, Block Road, etc.)
-AA-4- Z� Z�P=z iN.C.
( ater Body) (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.
a;; Le of fifteen eet r, t, �Y�� area cf rid n-a-eees-s---
�%� :-! s ^ - -i '^. '� -
cam' - •�►-
-• �--
• • • -
-- •-' -• 8
-�.-
Description and/or drawing of proposed development: (TO BE
FILLED IN BY INDIVIDUAL PROPOSING DEVELOPMENT)
W-0 'i W
61
�s-VVA
Phone Number

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that -I own property adjacent to
Name
located at ( J _
's property
'_Q__ , on
(Lot, Block, Road, etc.)
in ) (_�p , N.C.
( ater Body) 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. -a—mini-mum
y area
ived by me.
Description and/or drawing of proposed development: (TO BE
FILLED IN BY INDIVIDUAL PROPOSING DEVELOPMENT)
Sign ture
Name
335-0cl
Phone Number