10963_General Permit_19921203

LAMA AND DREDGE AND FILL
GENERAL
PERMIT N� 10963
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 711 // 00
Applicant N,m
Address=-�R�C-1� �%�L� u✓
City"
G
Project Location (County, State Road, Water Body, etc.) E
Type Project Activity U �%
Q C
Phone Number 3 01 S S; i - ;;/ 3 � &
State al. IV, zip_
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t-�S A < f'l. -T
ctJc.c. C�J <'✓ ?(-2
PROJECT DESCRIPTION SKETCH te, 1�2 �A f ; � � AA"
(SCALE: V I
Pier (dock) length �i-�wr� ��� — T r-'--_;S A ,
Groin length.
number
Bulkhead length
5_"1 /1
max. distance offshore
y -:u. Lv '
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 ac essible to the
permit officer when the project is inspected fo'� 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
permit officer's signature
3 -- 7 ;)- 3 - 3- 3
issuing date expiration date
attachments __/// /T
In issuing this permit the State of North Carolina certifies that �o
this project is consistent with the North Carolina Coastal application fee ��'►^�S."�""
Management Program.

'-____ i __ - - 7-

ADJACENT RIPARIW PROPERTY U"WER STATEKE T
I hereby certify that I own property adjacent to
's property located at
Namppjof Property owner
Lot, Block, Road, etc.
on i n 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.
------------------------------------ r----------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be ( � �ii�rW proposing develop!q�e n-t_),__�,-��
11
s
f 63p k/ `3 j
i u r e
g)a! � -S
Print or Type Name
(.3�I- 3:k-/-/7/
Telephone Number

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
r.
roperty Owner
's property located at
f
( Lot, Block, �Ryo� add, etc.)
onA�� , in )&rA ls�. a--, 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.
-----------------------------------------------------------------
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DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To bEt,- tJJ..1eA/�X,�WAp4y44ua1 proposing deyc�lopMent
D •-- L38'�- � 1 /3
J'e q %" H-
Signature
.L. 5�Aj1v,5-1z
Print or Type Name
3 7, -z3 �4d
Telephone Number