11010_General Permit_19930721

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CAMA AND DREDGE AND FILL
GENERAL © 101.0
PERMITas authorized by the State of North Carolina N C *0/9
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC
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Applicant Name '�-"/-'% Phone Number 71
Address r'
City � State zip 5 0
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
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PROJECT DESCRIPTION I SKETCH
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
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,
(SCALE: )
applicant's signature
permit officer's signature
issuing date expiration date
attachments - —_
application fee h '1

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ADJACENT € WARJAN MOP.EidTY OWNER :;'1ATEWi4liTtrt',ii A-F-4* 0
I ilvi£i j' CcP11<i'y �•.�letcr 1 ao+eia i4ruPelty y.wftcent top '•> 4 _ �4Z�'a?�i�__
Xiru�erty f��rutt:ti at.�.1._-i'.�-�.�,�u:�s..:,},s_,�iA�..��.�..d.��•'-d�t�.-4. _._ _.._.._.._..
t.iot. block, r•otlt�, t.tc.)
OPQ � 7LQ L t 1�,4�< _— lfi �i 14 J�. rnw tif• r`�'!t"�� N-C,
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(water 2n)dy) (Lawn and/or county)CP
He; haf tie�cribad to yn� �s �howr, lie- tkiee deve l«prn+-r)t, tie fn ProPasing rat that tocatiOn
and I 'have 110 at:jccilor's to his prtaposaI.���.as�
�w�--c��B�aeta,�s�or i �r-$a��t fr�a��u-�..:r�a��a-�-��r�=r+�-�r-4ti�a-���-i�'-•�-.
4eipe4o aiie) —
De cHptiori �,tpxi ur drivjir►g of Vrtaz:,o--Pd deJeWPtuent: zEt; be filled In '.)Y it4tiiv9dua1
proposing develvpriteiit)
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X, ante
Yttorte Number
TOTHL F. 01

19-1993 08:55 919 753 6925 PEPCOr1 INDUSTRIES, INC. P.62
FROM RHONE-POULENC NtW BUSINESS R LICENSING 07.16.1993 09908 P. 2
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ADJACENTRIPARI PROPERTY OWNER STATEMENT )
I hereby certify that I own property adjacent to�„h g - K)s ( so n 's
property located at 1-6
(lot, block, road, etc.
on �to 1s.�P�tk ' in '1MN4is: ��-t�r ", N.C.
(water bo y) (town and%or county
He has described s,, A as shown below the development he is proposing at that location
and I have no objections to his proposal.
Descr!ption and/or drawing of proposed development: (to be filled in by individual
proposing development)
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Signature
Name
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Phon Number
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