14863_BADDOURA, RASHID_19951020

Applicant Nam!
Address„
fie
City 1 . .7
,
Project Location
Type of Project ,
CAMA AND DREDGE AND FILL
GENERAL
T. r`
Ad y
14863
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the X�eles/
fission
in an area of environmental concern pursuant to 15A NCAC
! fi,• �
. Phone Number y r Z .�
State Zip iZ
nty, State Road, Water Body, etc.)
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ty
PROJECT DESCRIPTION
Pier (dock) length
SKETCH
d
_( .ram - "`'
r
(SCALE: )
7
Groin length—
number ,
Bulkhead length
R
Max. distance offshore
i7-1
—
I
Basin, channel dimensions
I
I—
i
I
cubic yards
Boat ramp dimensions
Other
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 -
*is consistent with the local land use plan and all local
nances, 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.
)
applicants signature
/ permit otticer's signature
f ,
issuing date expiration date
attachments
application fee 1

RASHID BADDOURA MD /
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Pny To The ` ` J 1� 15:E,
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Order Of
Wachovia �
Waehovia Bank & Trust Company, N.A.
Durham, NC 27702-2252
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2956
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I
IRac-Wa T. "Rn�ouR�
(Name of Property Owner)
own property adjacent to
's property located at
51�0 �3oGu� Sou0 3>'KN E I"31ock 11 , L of 131 Sech Dn,R
(Lot, Block, Road, etc.)
on rtOSM. S oucn A /Caow,i , inEmeroM 1 & ka� VeceV Cy hn 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)
�o expend M cuprent- bLcl�\-head vje-5wa7idC b�� abouF 6`1
�� ffie Norl h- Wes N-rn Cof-Rer of M3 1
Fry Der Fc
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Print or Type Name
91? - 36-y - 5-2.z3
Telephone Number

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify
that I own property adjacent to
/Ras hid '�"1,0D O URR is property located at
(Name of Property Owner)
511O �DGL(E Sou�D J7RIl7E 13 ock VO Lo-T 13 � SeCI'm
U,
f (Lot, Block, Road, etc.)
on 0 e Sgq(\C� Canal` , in EmewJS 4/CaJere�_, 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)
cuxrenk kAIk hQ-ol we sruJ a 6�s
6 `1 es �e� n co► n eC- o m�,
110
V vo Per I-�
Promo sect
'WrhQ-ad Ex Fens
9
e
i
S gna ure
Print or Type Name
Telephone Number

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