10706_General Permit_19920324

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Applicant Name _ _
Address IP i
CAMA AND DREDGE AND FILL
GENERAL
PERMIT NT9 10706
as authorized by the State of North Carolina Cdf
Department of Environment, Health, and Natural Resources and 1�9_�o,astal Resources Commission
in an area of environmental concern pursuant to 15 NCAC LO
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Phone Number %y 5 { 074�
City . I ° I rf_�l
11 State zip !-:9 9 < �6
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
,✓D FY �"C', eis 6t ( �
PROJECT DESCRIPTION SKETCH (SCALE: )
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore A' __4
Basin, channel dimensions��-
�oq! t
cubic yards
Boat ramp dimensions
Other RT()
/W
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.
/ applicant's signature
1� C%
permit offi er's signature
issuing date expiration date
attachments
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee
Management Program.

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RUBEN CARNELL SLOAN, SR. 4-go
1010
MRS. R. C. SLOAN, SR.
DL 1442707 PH 523-1540 66-258/531
708 POPLAR ST
KINSTON, NC 28501 2
19 -ZL;9-
PAYTOTHE
ORDER OF 12
QUALITY CHECKING
ScWhemdank il.."
M1 Olive/Calypso/Grantham
Dudley/Seven Springs/Deep Run. NC
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:OR
1:053 10 2 SBC,1:L,90?9?G9q ?"1 10 LO

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
's property located at
(Name of Property Owner;
nn (Lot, Block, Road, etc.)
/tc . )
on R IL/ln4l , in FC.Orin-"P- r&M Ll`� , N . C .
(Wa erbody) (Town and/br 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
Print or Type Name
Telephone Number

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
's property located at
(Name of Property Owner)
gel i'm.'kq -ev ,
(Lot, Block, Road, etc.)
on Y`,Lt° , inN.C.
(Wa erbody) (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)
Sibnature
t or Type Name
911- 745- 555;--
Telephone Number