23222_SHEPHERD, T. DANNY_19990913

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CAMA AND DREDGE AND FILL
GENERAL N0 3222
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 15A NCACy'-,' '
Applicant Name
i'��
--�'� 'r ` '—'
Phone Number 2; `
Address
�6>
P g ­ r
City
State
Zip
'''`?=' i
Project Location (County,
State Road,
Water Body, etc.) ' ` " `-r' •
r•: -\Y
'4.1r'1"-
Type of Project Activity
�� ` r.l
a^, Tr,`�_,,
PROJECT DESCRIPTION SKETCH (SCALE:
Pier (dock) length
Groin length
number -
Bulkhead length
max. distance offshore
-A 1
_ b ,
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.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
i
applicant's signature
permit officer's signature
issuing date expiration date
i
attachments �I�
application fee ( C'�J asue..

........ ....
J. DANNY SHEPHERD 1-82
FARM ACCOUNT
NCDL 2537867, PH. 569-5191
4K1TN- E' 7 -,-� W y 5-cr L.)
STON, NC 2850q. F!
J
PAY
TO THE
ORDER OF -
a
m
lJF -
FIRST CITIZENS
CIMMS Bank & TIM Cmpny
FIT
-lflll, NC 28572
FOR
'0000623Sij- i:OS3,003001: c;o
IB96114
6235
66-301531
DOLLARS

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 's
(Name Property Owner)
property located at
(Lot,
etc.)
on a , in - �r u 2 N.C.
aterbody) (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)
AAlt' /y�e2c1
�Y� er Uv
Signature
14&-1-'6 C, l,r 4- Yr1 o/h-)AI
Print or Type Name
741� =guLl5t�
Telephone Number
Date: —�

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to �(-/ . y� a� �,4— 's
(Name of *ODerty Owner)
property located at
(Lot, Blot k, (]Road, etc.)
on --z , in'
N.C.
#J aterbody) (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)
Iti-ek)a
gnature
Print or Name
- s_Q -7227�-
Telephone Number
Date: �- �U-