14522_HILL, GARY SR._19950322

` CAMA AND DREDGE AND FILL: ,
GENERAL <`_ 14522 -
PERMIT
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as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Co stal Resources Commission
in an area of environmental concern pursuant to 15A NCAC
Applicant Name _�/ /'Ji Phone Number 91
Address
CityState zip
Project Location (Co)unty, State Road, Water i ,4y, etc.)
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Type of Project Activity
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PROJECT DESCRIPTION
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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
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permit officer's signature
issuing date expiration date
attachments 09 / • ! �G='
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
application fee

I.
CHADWICK CONSTRUCTION CO. 66-112/531 r
LIC. 2294863 LIC. 2916140 1561
PH. 919-728-4504
RT. 2, 327 STEAMSHIP LN.
NEWPORT, NC 28570 3
PAY TO THE
19 "I
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DbQrir DOLLARS
M OREMEAD I�TY, NORTH CARO�LINA 26557
MEM0J5-:Zp'46
: 0 5 3 10 1 1 2 115 1 10
_-- ,u..... 09 35 26II' 156 1

ADJACWT RIPARIAN PROPERTY OWNER STATE24E21T
I hereby certify that I own property adjacent to
Is property located at
(N a of Property er)
(Lot 'Block,
o n `", in
(Waterbody)
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)
F
Si n;re
Print or Type Name
� / � 7 3 � (�)
Telephone Number

ADJACLNT RIPARIAN PROPERTY OWNER STATEMKNT
I hereby certify that I own property adjacent to
A 14,' f 's property located at
» (NaMe of Property Owner)
C1
''(L11ot, Block, Road, etc.)
on 0- w in �V1 IL) 114 r I e f CL N.C.
(Waterbody) (To 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)
2-Aph(--V�' L—Jz
Print oic Type Name
oi(t ' - 'i53-� 4�''3
Telephone Number
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