15986_WHITE, ELIZABETH_19960305

.IN
CAMA AND DREDGE AND FILL
GENERAL
PERMIT 6' 9
as authorized by the State of North Carolina � C��
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC 0 e� /l00, '• , /7,o0
M 015986-Cli
Applicant Name f �..1.'�" '�' ��! '� Phone Number
Address 7!Q ZiA
City 471 �vo u State /t% zip
Project Location (County, State Road, Water Body, etc.) A'fr' f ~mil X4 fx.1- Pd 6', W Lie 17,,
re, - { i• ,L;Cr r P� l K «' ar- d .i .P %.r �SgI. ' .'� i
Type of Project Activity
41
PROJECT DESCRIPTION I SKETCH
P.er(dock) length
Groin length
number
Bulkhead length
max. distance offshore `
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
C • r u/. 'ATf1 E
6��_z �kWa I.,,- Y
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:
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LJN1TE RO I efY
N�l (All .:,�, �.,� /1p 1
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applicant's signature
permit officer's signature
issuing date expiration date
attachments z>71 1/00 � ' / Z 0 U
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
application fee

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BROAD CREEK CONSTRUCTION INC. 6195 1326
(2) '-P _j
112 Creekview St Ph 919-249-0523 66-301531
Merritt, NC 28556
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PAYTOTHEOWElin, ^ 0 ( e It I Y / L I s
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Deal, m be
FIRST CITIZENS -
BANKBANKNN7-CINienr Bank & hust Company
Boybblo, NC 28515
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i:053 10030Qi:L,7 110 2 2674us
CHARLAND SIGNET

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to is
(N f Property Qf ner)
property located at
(Lot, B1ock(Road, etc.)
on Ct i _ Gam. c t/�. , in n2l4z' _ cam- , N.C.
aterbody) (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.
DESCRMION AND/OR DRAWING OF PROPOSED DEVELOPI E-Q-T
(To
be filled in by individual proposing development)
U
Signature
Print or Type Name
Telepho e Number
Date:
Z.i p��
�9Ac1c-
sT'Y^9

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
t-
I hereby certify that I own property adjacent to --'z �L_s
(N of Property er)
property located at n%aA"A ,
(Lot, B1ock(Road, etc.)
A
on �. , in f"�_ f �z� , N.C.
aterbody) (Town and/or County)
He has described to me as shown below, the development he is proposing at that location,
?!! ?SIP p1n,
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development) .
I imp
,
Lisa'
I?(q
Telephone Number
Date: