11879_MOY, FEE_19930607

1
Applicant Name
Address
CAMA AND DREDGE AND FILL
GENERAL
PERMIT
�19
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
Phone Number
City . /�' / /� r, j t (_vim �i, h State ' V C Zip_
Project Location County, State Road, Water Body, etc.) n 7
Type of Project Activity
PROJECT DESCRIPTION
Pier (dock) length
SKETCH
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(SCALE:
)
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
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I
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i
Boat ramp dimensions
Other
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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.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
e-,11, -7 Al
issuing date
r
attachments l r/C7CJ
application fee v 166
applicant's signature
permit offiper's signature
- , 7 j
expiration date

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FEE LING MOY 0193
`NCDL 6077922
P.O. BOX 722 66-7538/2531
ATLANTIC BEACH, NC 28512
C ry Point Federal Credit Union
ti 1208 East Main Street
~ Havelock, Nom Caroarta 28532-2405 ---- --
1:253L753841: L080L042840611' OL93- --

ADJACENT RIPARIAN PROPERTY_-'YWNRR STATEMENT
I hereby certify that I own property adjacent to
L �� t�OIf Is property located at es,
(Name of Pro erty r)
(Lot, Block, Road, etc.)
on /-� C'�SS C',�(c�/'tlE� in���e�i 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 be filled in by individual pr:-posing development)
IAi1JL �. ` (2 E/olE� '%
EA GcJ,�} L-L- .4 poi• , /
Sia:� st,�uure ,r,�
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Print or Type Name
2 k ' '3"
Tel phone Number

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ADJACENT RIPARIAN PROPERTY CMINER STATEMENT
I hereby certify that I own property adjacent to
's property located at
( Name of Property vwirer )
(Lot, Block, Road, etc.)
on Cz(--dtbWEL— , in 4iL-4A T-tC N.C.
(Waterbody) (Tcwn 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 px:aposing development)
A Lojre-
11,
Sig2ature
Print or ype Nampl
Telephone Number