13857_CHURCH, WILLIAM_19941209

s� 9~ CAMA AND DREDGE AND FILL d13857
GENERAL
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 ! 02l`! / 3n P
Applicant NarpF, 1� 1 e, �' �' r'� Phone Number? s ' �d r%216
Address r
City % " ' State Zip /� �� 14
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity ^. f �= ' ��% y� ;�y �!t ri'/�' , 1?r ; N,, i� �C% L• �a �It
PROJECT DESCRIPTION SKETCH ), �, %T (SCALE;
Pier (dock) length 7
F A-=
Groin length 7
number ) LL r
Bulkhead length ^ C I '��' L ✓' �'•
max. distance offshore I a
Basin, channel dimensions v
cubic yards
_ t
Boat ramp dimensionsIn t
Other _ ..
1 I _f
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.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
r (r_ applicant's signature
;i permit officer's signature
issuing date
attachments / " (J
application fee.
�/ f
expiration date

WILLIAM T. CHURCH
PH 919-728-2476 66-1521531 CC 0164
106 RIVER DR
P O BOX 914
BEAUFORT, NC 28516 a
` 19�
Pay The u v ?
Orderr 0 C Of �' Imo' ,Q► / I $ 00
Dollars
VWTl /l At rr
Wachovia Bank of North Carolina, N.A.
I3euufurt, NC 28516
Memo
1:053101S291: 5465 120P33211' 0L64
—U —1
1
v

December 8,1994
Mr. Bill Church
106 River Drive
Beaufort, NC 28516
This is to advise you that we have no objections to your proposed
improvements to your lot at 104 River Drive. This includes a boat ramp, dock,
bulkheading and temporary storage buildings.
M. W. Harshberger
Bernice B Harshberger

72o
Goal sTIE'L�
1��

BEAUFORT ANIMAL HOSPITAL
RICHARD C. PATTERSON, D.V.M.
Highway 70 East, Beaufort, N.C. 28516
Phone [phone]
PLEASE FILL OUT FORM AND RING BELL FOR SERVICE
OWNER'S NAME
AT)nRERR
PHONE
PET'S NAME BREED
AGE SEX
r.nr .nu
PLEASE CHECK SERVICES DESIRED
PHYSICAL EXAMINATION
DOG VACCINATIONS
DISTEMPER, HEPATITIS, LEPTOSPIROSIS,
PAROVIRUS, PARAINFLUENZA
RABIES
CAT VACCINATIONS
FELINE DISTEMPER, PNEUMONITIS,
RHINOTRACHEITIS, CALCIVIRUS
RABIES
DEWORMING
SURGERY
SPAY
CASTRATION
EAR TRIM
DOCK TAIL
OTHER, SPECIFY
OTHER SERVICES
FEE

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