21021_WALLACE, WILLIAM_19981112

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CAMA AND DREDGE AND FILL �,,�� 021021 Or©�
GENERAL
PERMIT
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 15A NCAC
Applicant Name Phone Number
Address
City State Zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
Qn
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PROJECT DESCRIPTION SKETCH � +ram rU, Cr'� (SCALE: )
Pier (dock) length Nip F- W," i
;rK+2FT. N
Groin length -
number:
Bulkhead length--r----
i�
max. distance offshore IZ�
h 'Tt - E�
Basin, channel dimensions ��� .,� 6•-•i I t+�+�}(j%
cubic yardsK
Boat ramp dimensions i
Other
717
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.
7��1 1�w♦
permit officer's signature
attachments
issuing date
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.

BROAD CREEK es-3oiaii 4050
CONSTRUCTION INC
PH 252-249-0523 _
11 CREEKVIEW COURT `Date zq
MERRITT, NC 28556
Pay tothe
order
r of
FIRST CITIZENS 411
Fir tLitizons Bank $Trust Company
28515
a_ a ta�t LJ► "60
c,-&,alu(Ialoes a
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to j tQz '�If-, //,4r c 's
//��
(Name of Property Owner)
property located at A t via �/� /Ayz & y "z- � � /.
(Lot, Block, Road, etc.)
on Vlc'/ « P /yam in�5 -� <2f� v �'� , 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.
--------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
Any comments should be made to
Ted Tyndell, DEHNR Morehead
City, NC 919 808 2808
p � '13
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i nature
Print or Type Name
U/ 31 a f-I
Telephone Number
Date: //- /G i�

ADJACENT RIPARIAN PROPERTY OWNEIt STATEMENT
I hereby certify that I own property adjacent to ' LUi/1iP-n' t�-� ///4 <— I
(Name of Property Owner)
property located at A i '�C /cil I� F71z k .L `U 7"- ,
(Lot, Block, Road, etc.)
on A / / c C/l -e e /t✓ , in "--. -A o S Ge'l L, �ti <o, 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.
rlf A S Ire ( A.1 p, rt k e 'iI A;
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
S rr
Any comments should be made to
Ted Tyndell, DEHNR Morehead
City, NC 919 808 2808
c-
P�
Ai e x,' 0 1c) il. A T
J96
Sign ture
Print or Type Name
& 37 - �1 o 1/
Telephone Number
Date: / / — r a - � r
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