16293_BRIDGE, GARY_19960516

V
CAMA AND DREDGE AND J
GENERAL FILL
xy 4 01629 _C
G o/�
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 L).7`, 120c.
Applicant Name (i���Yit'��F,F Phone Number
Address
City State zip u3 /S7
Project Location (County, State Road, Water Body, etc.) ���' �o •, -e4 S&' � ? 2 r %? n
PROJECT DESCRIPTION
Pier (dock) length
f✓� 8 �".j2 i � a�rr,
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
SKETCH
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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.
(SCALE:
U a p
J
appl icant's-signature
permit officer's signature
TomA % _
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 (77•�r�C ���/
Management Program.

—~ BROAD CREEK CONSTRUCTION INC. 6195 14 81
112 Creekview St Ph 919-249-0523 66-30/531
Merritt, NC 28556 16 19
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1I First-Clll:em lank S huA Company
l� layboro, K 25515
FOR.
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Gary Bridge is
(Name of Property Owner)
property located at Lot #11-SaltAire Subdivision
(Lot, Block, Road, etc.)
on Long Creek ,in Pamlico County , 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)
Sig ture
Jae ✓G -� �-� - � �, G l ��
Print or Type Name
(663)as3- I Y-L
lephone Number
Date:

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
Gary Bridge
(Name of Property Owner)
property located at Lot #11-SaltAire Subdivision
(Lot, Block, Road, etc.)
's
on Long Creek ,in Pamlico County , 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)
�L--.2'j �l
m® 4z
30'
�S
4
Sig ature
Print or Type Name
7.1
�08' _36 r-s 7((2
Telephone Number
Date: -5-- 3 - t t�
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