11009_General Permit_19930721

(, LAMA AND DREDGE AND FILL
GENERAL �"U`-l�) rNi 1��0g
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 15 NCAC ! ,
Applicant Name
Address
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
State
Phone Number_
PROJECT DESCRIPTION
Pier (dock) length
Groin length
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number
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offsh orei
Basin channel dimensions
Boat ramp dimensions-
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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.
attachments —
applicant's signature
G ' 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

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SERIAL NUMBER
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1 t aly that on / ii(- 19 P5- , I
4uAveycd the ptope-At' y sC%A*l 0$1 CU,4
plat; that the p4opeAtr tinE4 and
t or apt. on @ S a t,t 4 t.A U Cta t4 aA t acw►^ l� ' �'
a.ttty 4hocc&" hEAEOh; that no 4tUuatUAe
loGatgd on thd4 �top,'4�i en�oashe on k��h,��-�"'1
and adjacent 4 `.'�igjp�ty and ;, COLLIERSURVEY C4I pAIyiY
that no atAUC �Q 1� PA ty ►
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ADJACENT RIPARIAN PROPERTY OWNER STATEM ST
I hereby certify that I own property adjacent to
Err Q (;r Is property located at
(Name of Property Owner)
. l()f, --'Al to horr!r, Road ---
(Lot, Block, Road, etc.)
on :sL1L'ti[3 r In Cf3]'toret. C(JU1-!ty , N.C.
(waterbody) (Town and/or County)
He has described to me, as shown below, the development he is
proposing at that location, and, z have no objections to his
Proposal.
DESCRIPTION AND/OR DRAWING Or PROPOSED DEVELOPMENT:
(To be fired in by individual proposing development)
Itistall a rq)rUY.imatel�" ,13') feet of Aulkheal "1)or1q west sidn of
a spit off Rouge Sountl.
In^ta11 apI r.oxirnately 1�,J reet >f pier extending from iYUIIt of
property into Ii .clue Snu:id.
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signature
Prlht or Type Name -
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Tele hone Number

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ADJACENT RIPARIAN PROPERTY OWNER STATP.MF.NT
I hereby certify that I own property adjacent to
Xric R. Gray 's property located at
(Name of Property Owner)
906 Salty Shores Road
(Lot, Block, Road, etc.)
on Boque Sound , in Cartc2;ct County , N.C.
(Waterbody) (Town and/or County
He has described to me, as shown below, the development he is
proposinq at that location, and, I have no objections to his
proposal.
MSCRIPTTON AtjD/ OR —DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual. proposing development)
Irista] 1- approximately 1.30 Fret. of Bulkhead _ iong west side of
a spit. off Boquc sound.
install arproximat.ely 15U Feet of Fier c2xtendinq from front of
property into Bo ue Sound.
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Signature
ldiIIiam T little _
Print or Type Name
Telephone Number
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