10795_General Permit_19920617

CAMA AND DREDGE AND FILL
GENERAL PERMIT Na 10795
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 %1 // O O
Applicant Name W,7 r' Phone Number It %' - - i73 % Lr-
Address , S0 1 3
City
Project Location (County, S
ti � ! 3 3 3
Type of Project Activity
Road, V)/ater Body etc.)
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_ State /4",
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Zip 2 %,Ko 2
PROJECT DESCRIPTION SKETCH (SCALE: )
Pier (dock) length
Groin length
number
Bulkhea length I _ pa` /t �l-r� u�l+t
max. distance offshore
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6 1 4,1 D q1
Basin, channel dimensions. �IJ/1 �j �ar� 0'' 0, C� Ile -
cubic yards ,
Boat ramp dimensions
Other ' C
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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.
c
D� (J applicant's signature
issuing date
attachments /,-(-/i / //
permit officer's signature
ov
expiration date
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee /
`'
Management Program.

THIS CHECK IS IN PAYMENT OF THE
MILLER'S CONSTRUCTION COMPANY U ° 01 2891
P.O. BOX 25 �-
MERRITT, NORTH CAROLINA 28556
PHONE [phone] FIRST CITIZENS BANK
& TRUST COMPANY 66• 531
DOLLARS
PAY
DATE CHECK NO. AMOUNT
I
I
TO THE I ,
ORDER OF
AUTHORIZED SIGNA URE
iI'00 289 LII' ':0 5 3 L00 300i:►+ 7 L LO 20 L 261I'
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
William F. Daughety 's property located at
(Name of Property Owner)
Weaver Camp Road(SR 1333),
(Lot, Block, Road, etc.)
onBay,River in Township 3, Pamlico County N.C.
(Waterbody) (Tovm 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)
"Rip -Rap" rock bulkhead length of lot to protect against erosion.
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Signature
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Print or Type Name
_%a\VISI r1)3
Telephone Number

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
William F. Daughety 's property located at
(Name of Property Owner)
Weaver Camp Road(SR 1333),
onBay,River
(Waterbody)
(Lot, Block, Road, etc.)
in Township 3, Pamlico County
(Tovp.i and/or County)
, N.C.
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)
"Rip -Rap" rock bulkhead length of lot to protect against erosion.
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Signature
Print or Type Name
Telephone Number

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