10944_General Permit_19921013

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Applicant
Address
City . let P
Project Lc
CAMA AND DREDGE AND FILL
GENERAL
,0)0
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
Phone Number
tion (County, State Road, Water Body, etc.) —�
Type of Project Activity 157
State Zip 7
PROJECT DESCRIPTION SKETCH ,� �� (SCALE: � )
Pier (dock) length fW14
`1 _
+ I
Groin length
number ! w
Bulkhead length
max. distance offshore �' '►� —' j r; �'`
1
Basin, channel dimensions ;y1 yt ( Iy
cubic yardsl
Boat ramp dimensions(JIP
it
/�i liGrfi l i I }
Other C
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.
applicant's signature
permit officer's signature
issuing date expiration date
attachments /�/ e- A (- 7b / f (/)
67/ f 7 i �{ 7
application fee n I C G TT"

1727
CLYDE J. WIGINGTON Y
PH 548 6315 NCDL 1294555 e6-1971531
RT 1 BOX 314 HWY 135 ✓(� 19 `1?
MAYODAN, NC 27027
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13'ay to the Ordero
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ADJACENT RIPARIAN PROPERTY OWNER STATEKENT
I hereby certify that I own property adjacent to
Nrj -'
^(Name of Property Owner)V
's property located at
d 111-7 c/ ,
(Lot, Block, Road, etc.)
J 9
on 6 /) L Y- 6-I , in v -� � > _z � 7 �, , 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)
Signature
I
ID �r �cuO rl
Print or'Type Name
Telephone Number

1.
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
► 1 A 1. 1
's property located at
��1l �� (Lot, Block, Road, etc.) ` j
on John`5 l,reeik , in HdrltC(6 Tbd(A GJ , 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)
��iJJi
`Signature
i lDUs�u�1 LeWt5
Print or Type Name
7�8-AR3
Telephone Number

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