13937_JREISAT, KHALED_19950306

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CAMA AND DREDGE AND FILL
GENERAL
PERMIT
(ef
(2Y,X,
J r
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
Applicant Name
/ Phone Number
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
_ State i�C Zip
I
PROJECT
Pier (dock) length
0
number
■�■■■
ONE■■■
■■NONE
■
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SON
NNMEN
MENEEN
E■■
mE
No
■
■EEN■N■
NEONMEN
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cubic yards
Boat ramp dimensions
1 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 -
is consistent with the local land use plan and all local
nances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
objections to the proposed work.
attachments
issuing date
applicant's signature
permit officer's signature
expiration date
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee
Management Program.

53 -7

47
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A
CHADWICK CONSTRUCTION CO. 66-112/531
LIC. 2294863 LIC. 2916140 1521
PH. 919-728-4504
RT. 2, 327 STEAMSHIP LN.
NEWPORT, NC 28570 lye
PAY THE
ORDERER OF.,
DOLLARS
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M OREH EAD CITY. NORTH CAROLINA 20557
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0531011211:511009362E, 152L

DR. & MRS. KHALED JREISAT
234 DRAKE LANDING R6AD
NEUSE HARBOUR
NFw BERN, NC 28ht>O
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