14504_ANDERSON, DONNA & C., ARTHUR_19950327

CAMA AND DREDGE AND FILL C
GENERAL < :% 14504 -}
�
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 .c`J !7�`_.
Applicant Name �Fr''" `�"� Phone Number
Address Alr •-_ c�k >�!�^
City _ State Zip
Project Location (County, State Road, Water Body, etc.),y't.;
Type of Project Activity
� EC • � Gd . %^�d .�
PROJECT
Pier (dock) length
■MEN
0
MENMEN
Bulkhead length
RON
MENNEEN
max. distance offshore
�■■�■
so
Basin channel dimensions
■
.EE■N.■■..■■
PR
a
WIN
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.
applicant's signature
r
permit officer's signature
issuing date expiration date
attachments /2e --,
- �
In issuing this permit the State of North Carolina certifies that iE
this project is consistent with the North Carolina Coastal application fee z� war f
Management Program.
. - --- _- _ ..j

LAW TRUCKING SERVICE
112 CREEKVIEW COURT 919-249-0523
MERRITT, NC 28556
Paylb
The rder Of' 1�-=—
3 ^ 1 `l 197
FYRST CIT
Flisl-IZENS NI
�Y-V {oyQtu
aNc Bons 51rW1 Coml�YCompanyI�A bgo, NC 26515
For
i:0 5 3 L00 300i:4 7 L L0 20 36 LII' 2 7 29
2729
66-301531
Irl

2Vq, 30 1Z
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
h �y C— Forma t /n(/,,r-jc rl
Name of Property Owner)
l), LC s-h6�-' �-) kfr"o
(Lot, Block, Road,, etc.)
on Rke( l 6-*fL
(/�fh , N.C.
(Waterbody) (Town and/or Co ty)
.Is property located at
IF
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: ,
Vrn he% f i l l nA i n V"r i "A; •Y; A.1-1 TT-- -- A .....1 \
Signature
Print or Type Name
Telephone Number

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
V(p h6i Is property located at
( Name of Property Owner)
01
(Lot, Block, Road, etc.)
on b,71rr"l in ��� 1(( L iob�,.f�� , N.C.
(Waterbody) (Town and/or Co ty)
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:
4- Aa"O"D
Print or Type Name
s-z6-�75� a�/g
Telephone Number