10834_General Permit_19920728

CAMA AND DREDGE AND FILL
GENERAL r�
c
PERMIT '��.x_
' 10834
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and�he Coas sources Commission
in an area of environmental concern pursuant to 15 NCAC 7 //<i
Applicant N, mg Tom_ K�'�-Pr.�` Phone Number
Addressuf f�� 6
City, (► State / V zip u7 7S �1'U
Project Location (County, State Road, ,Wi ater Body, etc.) 5eja'
Type of Project Activity . 60 L_
PROJECT DESCRIPTION
Pier (dock) length
Groin length
number
Bulkhead length `
max. distance offshore
Basin, channel dimensions
cubic yards_
Boat ramp dimensions
Other
SKETCH£ L,, f TA (SCALE: /y )
^20 0 O a O'dJiJ0
r � n — , -
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.
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applicant's signature
permit officer's signature
issuing date expiration date
attach ments,/(/�4 '?// ( /ay
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In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
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application fee 1 V lr rT / � /

THOMAS W. HOWELL NCDL 1658842
EWANDA HOWELL NCDL 2639617
ROUTE 1, BOX 46-A PH, 552-3677
HOLLY SPRINGS, NC 27540
e BB&T
1603
y�ss�i 1z
531
IUOUA wARCH eARwiRC A..o *wJ �}i
V ARINA. No,CAusrcoa.AMr
ROLINA 2 )526
10 1 1 230
30 7 3 20 1n� 160 3

ADJACENT RIPARIAN PROPERTY OWNER STATIIMZNT
I hereby certify that I own property adjacent to
's property located at
(Name -of Prope ty Owner)
(Lot, Block, Road, etc.))
on in _ ��D��C��l��N.C.
(Waterbody) (Town �*id/ 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
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Signature
4 /X a'/J 2 / n-, k_D /1 S e---
Print or Type Name
Telephone Number

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
(N
of Property Owner)
FA
is property located at
Lot, Block, Road, etc.)
on CO 12 E C/'e,,-A , in C . 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.
- - - - - - - - - - - - - -/--,z ---------------y------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
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J of, e IV e.lLc,�c�
Print ofr Type Name
Telephone Number

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