28919_BRDWELL, RICK AND ALAN BAILEY_20010814

,i
CAMA and DREDGE AND FILL
G E N E R A L�
PERM I T
as authorized by the State of North Carolina
Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC
Applicant Name
Address
City State
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
ana attacnea general ana specmc conamons. Hny violation or inese terms
may subject the permittee to a fine, imprisonment or civil action; and
may cause the permit to become null and void.
This permit must be on the project site and accessible to the permit of-
ficer when the project is inspected for compliance. The applicant certi-
fies by signing this permit that 1) this project 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.
In issuing this permit the State of North Carolina certifies that this project
is consistent with the North Carolina Coastal Management Program.
Phone Number
zip
applicant's signature
Ipermit officer's signature
issuing date expiration date
attachments
application fee

BLUE WATER MARINE CONSTRUCTION, INC.
P.O. BOX 93
MOREHEAD CITY, NC 28557
1465
PAY DATE 66-112/531
U ((
TO THE
ORDER OF `i ` r �✓ I $
/O4D t DOLLARS B
02301 TT r&T
4408 AR EN DELL STREET
� EHEAD Cl//I� NC 28557 ����j
FOR s a�v w�a ✓1 J}/ — r- -- "P
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ADJACENT RrPARLAi PROPERTY OWNTER STATEMENT
I hereby certify that I own property adjacent to
property located at 1402
"R,'A14,a I
(Name of Property Owner)
(Lot, Block, Road, etc.)
on -eo9uc S000i , in �mc,-A)8 Is Id , 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 DRAWLNG OF PROPOSED DEVELOP.NVIE'�,7 =
(To be filled in by individual proposing development)
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` @�l 6�_
slo9oc 5oljo�
r
� P�oposc� P 1 1i
� pppro�Lci L�''q.
P_
NI 4--
f,I a
n
!`- ProPoSed SeAwAl1 CAIeJ
n
AmA Approvcd
D
r
d
Sja Xru'717
Print or Type Name
i
Pellohone Number
Date:

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to i��c�►��c� �ro4dw� <<
(Name of Property Owner)
property located at
14oq Eln"A ld DQ 1'UC_
I
(Lot, Block, Road, etc.)
on -FoquL Souaj , in Eme-4Q [$le- 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 DRAWLNG OF PROPOSED DEVELOPMENT _
(To be filled in by individual proposing development)
M
Pr�pos�d P;«
.751 �pq JL s%j a l
`G— propose-8 scauwa\l CAlo�q
Signature
Print or Type Name
_ 7j9 xM
Telephone Numbe:
Date: