28934_TASKER, WILDER_20010904

Your project is subject to the NU lltvtston
CAMA and DREDGE AND FILL of Water Quality Neuse River Buffer Rules
G E N E R A L due to its location within the Neuse River � ,934
Basin. Please Contact Deborah Sawyer
at252-946-6481 or
PERMIT [e-mail] 1
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
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION SKETCH
Pier (dock) Length
-
Groin Length
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
State
Phone Number
zip
(SCALE: )
This permit is subject to compliance with this application, site drawing
and attached general and specific conditions. Any violation of these terms /' i applicant's signature
may subject the permittee to a fine, imprisonment or civil action; and `
may cause the permit to become null and void. Sid CA_ �I c'��_
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- L,���
fies by signing this permit that 1) this project is consistent with the local t issuing date expiration date
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. attachments
In issuing this permit the State of North Carolina certifies that this project VOID
is consistent with the North Carolina Coastal Management Program. application fee

0
DAVID MEDFORD NCDL 5651681 1368
DONNA MEDFORD NCDL 3081022
802-B NEUSE DR r 66-30/531
NEW BERN, NC 28560 Date 112
PH 252-635-5242
Pay to the n $ bb
Order of
t) K ,, tA"'t NID/1�D Dollars
F7AH�S`I CITIZENS IQ
Bank Trust Company
N..B.-,N.C. 28562
For - --
i:0 5 3 L00 3001:00 L L L8 28 7886ii' 0 L 368
�Darke A�rerkan

COPY
j MEDFORD MARINE CONST.
/h d %his. W.,%d!. T�rlrl�- P. 0. BOX 35%
9D� Ham.., ksd;/t Ct. NEW SERN, NC 2&%4-3556
P/t., 0-er-e Mr. 2dSY D 04 6W5242 - FAX [phone]
�3,;1- b33- 5 7 61- Exlsf! pock
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ADJACENT RIPARIAN PROPERTY OWNER STATMENf C 0 P Y
I hereby certify that I own property adjacent to Mr.i & Mrs. %Mlder Tacker Is
(Name of Property fir)
property located at 909 Hawksbill C't. _
( At, Block, Road, etc.)
an Man made canal off Spring �la 1Vewrn N.C, Graver< , N.C.
(Waterbody) (Town and/or County)
He �m dcxnbed w me as sl o below, the deveopment he is pressing at that location,
and, I have no objections to his proposal.
DFSCRIMON AND/OK DRAWING OF PR00SED DEVELOPMENT
(To be Rued in by indi&U4 proposint development}
(See the attached drawing)
Sign" !
Print or Type Name
Telephone NT17V
Date: i

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