13063_DONALDSON, WILLIAM_19930922

0 CAMA AND DREDGE ANL:
GENERAL
PERMIT
as authorized by the State of North CaroTtirn "" --
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC `
Applicant Name ° i f AJ 4,L; 'r nJ Phone Number
Address �.i r cr /`IV It
City 7 �_d j,L, State %1 ` Zip L/ .
Project Location (County, State Road, Water Body„et .)
.
Type of Project Activity
PROJECT DESCRIPTIOUI ` SKETCH (SCALE:
Pier (dock) length !�
Grolr3-1�'hgth
number
Bulkhead length
c
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other /y
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.
Il
applicant's signature
permit officer's signature
issuing date expiration date
attachments
application fee

State of North Carolina
Department of Environment, Health, and Natural Resources
Division of Coastal Management
3441 Arendell Street • Morehead City, North Carolina 28557
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
September 17, 1993
Mr. William Donaldson
1 Spinnaker Hill Lane
Hull, MA 02045
Dear Mr. Donaldson:
Roger N. Schecter
Director
Attached is General Permit #fC-12063 to construct a pier, bulkhead with backfill, and boat
ramp at Lots 18 and 23, Creek Point Subdivision, on Goose Creek, at Reelsboro, in Pamlico
County, NC.
In order to validate this permit, please sign all three (3) copies as indicated. Retain the
white copy for your files and return the yellow and pink signed copies to us in the enclosed,
self-addressed envelope.
Your early attention to this matter would be appreciated.
WDN/dh
Enclosures
Sincerely,
c':.�„
W. David Noble 5'
Field Representative
P.O. Box 769 Morehead City, N.C. 28557 • Telephone [phone] • Fax [phone]
An Equal Opportunity Affirmative Action Employer

WILLIAM R. DONALDSON, M.D. ee i(u') a( r I SPINNAKER HILL LANE
HULL, MA 02045
617-925-4188 3920
19 5-20/ 110
PAY To THE
ORDER OF �),C
awut DOLLkRS,
80*. RA.
�M�EMO I- MA 02211
1:0 l 1000 20gi: 2a SO 26 So
39 20

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