11889_HOLLOMAN, DAVE_19930630

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CAMA AND DREDGE AND FILL �� J
GENERAL 118891
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 - 7,, ,;.'<> -
Applicant Name
Address
City �1
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
1.. V
1-
PROJECT DESCRIPTION SKETCH l } {i 1 S
Pier (dock) length
Groin length
number
Bulkhead length- W
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.
Phone Number
State Zip
(SCALE:
applicant's signature
permit officer's signature
i
issuing date expiration date
attachments - � X,/ //�/ -i U
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
application fee # �Q' o

DAVID L. HOLLOMAN 2633
P. HOLLOMAN O 79 �y�
RT. 1 BOX 214-C 919-249-2209 %
RT. 1 66-152/531
78
MERRITT, NC 28556
PAY TO THE
ORDER OF ✓
I� D O L L A R S
Waehovia Bank of North Carolina, N.A.
Bayboro, N ' 28515 Q C%
FOR —1==' � PC%
4053LOIS2911: 0?83 202?8011- 2633
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
Naive o
,—/. �z��'� 's property located at
E Property Owner
�0
(Lot, Block, Road, etc.)
o ni��/sue/1 i n N. C.
�% %L��O
(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)
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JUN 15 1993
v�JUa,.
Signature
Print or Type Name
L'3 -SCE G
Telephone Number

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
(Name of Property Owner
's property located at
(Lot, Block, Road, etc.)
on �cc� in /r z -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)
I� ,c
'ems/,DEn/�
S natu e
Print or Type Name
Telephone Number
JUN 15 1993