10703_General Permit_19920304

CAMA AND DREDGE AND FILL
GENERAL
PERMIT : 1.0703
a�
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources n t Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC ' I �/ ` //c ;C
Applicant Name RJrr( /oZafwe' ar,i7`/1/
Address 12 N
City < < r'Uti Stat
Project Location (County, State Road, Water Body, etc.) c,t % ,vo_
/, <. / / f6, 9 i - TX) (- -i (l0 - �s� /. c,
Type of Project Activity
Phone Number
e
cr I ,I
This permit is subject to compliance with this application, site /
drawing and attached general and specific conditions. Any A All ��
violation of these terms may subject the permittee to a fine,-1b applicant's signature
imprisonment or civil action; and may cause the permit to be- 5��
�
come null and void.��✓J,
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.
per it officer's signature
issuing date ,,`` r expiration date
attachments / �! /ZUy
In issuing this permit the State of North Carolina certifies that � 6 a�
this project is consistent with the North Carolina Coastal application fee
Management Program.

j
M1
LAW TRUCKING SERVICE 0 418
P.O. BOX 241 919-745-3785 _
531
MERRITT, NC 28556 3 I��Z 66-30/4�
C, H, N )?�
DOLLARS
FIRSf CITIZENS BANK
First -Citizens Bank & Trust Company 471
Bayboro, N.C. 28515
FOR / 1 �--
1:0 S 3 l00 3001: 4 7 i 10 20 3 6 i1i' 0 4 i8

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
OBEk7— • 1S'UZ 'V.c/F
(Name of Property Owner
(Lot, Blc
on 4�'7" chi c �C ,
(Waterbody)
's 's property located at
k, Road, etc.)
in 4111.1-z-lcz)
(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)
N.C.
Pr F7, eF S1A-ne6 L/N.E
,B to/ W/�KD/Gv�v� v9CT�o/Y
63 U Gv/ Ipoc
Gu/So/� 7o
,Doc K'
J�i�gnature
�l D (-/aJ -Itll 6 A (1
Print or Type Name
) -�6-/- %S7�
Telephone Number

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
)�E3T �.�Uiy.VF �Ai�ZE�VS 's property located at
Name of Property Owner)
1'0/1vT /2 /fNT"%IDN
(Lot, Block, Road, etc.)
'W 0 ,
on /1 /c,F S' C,�4ri` , in /"/tlL/ cn co, , N.C.
(Waterbody) (Town and/or County)
�-YAlee
t has described o me, as shown im� elow, the developent--"-
proposing at that location, and, I have no objections to brsr-t-h'012
proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
y A
ignature
Sa5ap �e11t1�1�
Print or Type Name
91CA - r1` 5 -
Telephone Number