10722_Helen G Williams_19920512

Applicant Name
Address
City. A
Project Lo ation
I �r,/11�
CAMA AND DREDGE AND FILL
GENERAL
PERMIT
Ce�
0
10722
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmentalconcern pursuant to 15 NCAC 7 `/ 1166
r
+or. 1t°rV L �`" W% n//�w" Phone Number
D
L
unty, State Road, Water Body, etc.)
p _ ct/P 1 . 4-0 R, Vel( ----
State iy(
Zip
Type of Project Activity
JA P4
PROJECT DESCRIPTION SKETCH Q(SCALE: )
Pier (dock) length T
Groin length.
number
Bulkhead length,
max. distance offshore �' PAC Yjk,YixQ(
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
This permit is subject to compliance with this application, site rl
drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine, i
applicant's signature
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.
�a Le
issuing date
attachments M fi c�
permit officer's signature
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.

111
HELEN G. WILLIAMS
P. O. BOX 5021 531
NEW BERN, NC 28561
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PAY TO THE � L/ '
ORDER OF
DOLLARS
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NEW DER N, NORTH CAROLINA 2B600 )Ghl-F
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i:0531011211:219041,GLBS11' 01110

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
's property located at
(Name of ProPerty Owner)
(Lot, Block, Road, etc.)
on fi
.. „ems �,�,�...- in N . C .
(Water y) (T94hi an /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 pro po ing development)
f
"Olt
Signature
Print or Type Name
7-,? LA R � :;�, 9
Telepho a Number

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
's property located at
Name of Property Owner)
(Lot, Block, Road, etc.)
r
onin N . C .
(waterbody) ( own a[hd/ot 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)
� kh% i,,-- -, - S�) kAn'�
ignat e
Print or Type Name
LN G o?:;,!1 S �N
T lee phone Number'