10879_General Permit_19920917

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CAMA AND DREDGE AND FILL
GENERAL
PERMIT ! 10879
� as authorized by the State of North Carolina -(oP
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC
Applicant fame �jele, Phone Number
Address/', t ,C.,X�G (�. Ui(
City a uC State "y zip --
Project Location flunty, State Road, Water Body, etc.) — �' �00 S T
Type of Project Activity
l
PROJECT DESCRIPTION SKETCH.
i
Pier (dock) length
Groin length
number
Bulkhead length /?
f
max. distance offshore
Basi�,.channel dimensions
i %� t i
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.
(SCALE:
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applicant's signature
permit officer's signature
/Z 10 a
issuing date ( expiration date
attachments 7
application fee h, '�"�

EROSION CONTROL SPECIALISTS
ATLANTIC BEACH CAUSEWAY
P O BOX 3355 919-726-2191
ATLANTIC BEACH, NC 28512
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First -Citizens Bank & Trust Company 133
Atlantic Beach, N.C. 28515
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r ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own prope.-Iy adjacent to
G Is property located at
Name of Property Owner)
(Lot, Block, Road, etc.)
on in L--4.1T4c 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 hava no objections to his
proposal.
DESCRIPTION AVD/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
1/J'FEi,64,c(C��� (�XEJO f /Nl� OA106F E,V
L/F7- 4 Via', � V4cd;A17o,01 fAlS7-A4-l—,.47-,-0 ' D t
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ST-CEhat
Print or Type Name �—
Tefephone Number

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
0 (2 L'Aa f&— Is property located at
(Name of Property Owner)
�0 ''CooKS `�—' �r=`-C"T- 1
(Lot, Block, Road, etc.)
1134CJUE S00A//� in TL_A�V7`�c c��l�f{ , N.C.
on Aee &-QQ G'-�l,�c,�/W6—"
(Waterbody) (Town and/or County)
He has described to me, as shown below, the development he is
proposing at that location, and, I hav- no objections to his
proposal.
DESCRIPTION ARD/OR DRAWING OF PEOPOSED DEVELOPMENT:
(To be filled :in by individual pa:�jposing development)
WAW—t &14 � (Ck--Ve(lW q 6'.VA91< 'Ex 7 /4 1a <B04 T-
� FU,,ed f f W 14 304i -Dock--
CAnA"6,
Signature
Prirt or Type Name
- Z t, -^ 6 0 S' 1
Telephone Number