13964_BOREW, WALTER_19950125

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CAMA AND DREDGE AND FILL
13964-C
GENERAL C� 9
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 % pFcx
Applicant Name''��'
Address
City `; f
Project Location (County, State Road, Water Body, etc.) —
Type of Project Activity
Phone Number 9111`�"f
_ State Al (1 zip 2011's 9 !
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PROJECT DESCRIPTION
SKETCH
(SCALE:«+w. )
Pier (dock) length
Groin length
number\
Bulkhead length,
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f ) kX1"
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max. distance offshore
Basin, channel dimensions
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-
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.
r
applicant's signature
permit officer's signature
_—
issuing date expiration date
. J �.r> / :Y A , //n )
attachments /
F In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee—. is:L
Management Program.

DAVID SIMPSON CONSTRUCTION CO. INC.
RT. 65, BOX 384, 919-249-1381
ARAPAHOE, NC 28510
PAY
TO THE
ORDEAOF-
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CITIZENS BANK
First -Citizens Bank & Trust Company 471
Bayboro, N.C. 28515
FOR C' 21� 139(,YG' -
11'000 LO L 7 Ll", l:0 5 3 L00 3001:4 7 L LC