18541_GOLDEN, CATHERINE_19971201 (2)

CAMA AND DREDGE AND FILL
GENERAL NY 018541
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 %q 1 1) O a
r
Applicant ri4me Phone Number 3 9�
Address 0 G
City e r State C zip �l
Project Loc tion Zunty, State Road, Water Body, etc.) 7 :t "p �� C! �y� > %7d ci
Type of Project Activity '
PROJECT DESCRIPTION SKETCH
Pier (dock) length
Groin length
number
Bulkhead length�� cc 't --I
:314.fir
max. distance offshore
9'
Basin, channel dimensions
cubic yards
amp dimensions
O th Fr_
1y. ec,
y
Cc%os�u
(SCALE:
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1I v o r
d d a p ©CV
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% 0-7 .e 11 171' _1 3'
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
Adi3 Pr nr �riDarjap Ian nAr� �rtif /inQ that they have no
obiections to the proposed work. 0,4 j% /—."
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
L. 4— 7
applicant's signature
r
permit officer's signature
issuing date expiration date
attachments /v ` AC 2 / / l ) © e
application fe€ g—v, LJ 0 e o 9 �—

CATHERINE L. GOLDEN
319 HWY 70 OTWAY PH 728-3974
�i P O BOX 718
BEAUFORT, NC 28516
(00a ut
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FIRSTCITIZENS 005
BANK BeoBeo�lolrt/eNCB28616 Uus1 Company
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1:053 L003001:00576438t, 211'
0295
66-30/531
$ Sj. a%
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Gotails on bark. I
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-NP
0295 1
PRESTIGE
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I hoxeby Certify that I own property adjactnt to dilhe11��1-1 G - e�qe�� ti
.._ Mme of lrroperiy Uwner}
propexty located at.
(Lot, Block, Road, etc. /� 1
on �,Q/I N. C.
Waterbod (Towr, nd/or (;ounty)
lic has dcscribW- to me as shown b6ow, the, development he is proposing at that local on,
arid, I 318ve no obj('�--CI IS to his I)rojxOSal.
1).,iCMIII .r3��i)il1f i1kAatic C)x f'ftlii't1:1�i�;�.[.r��;?�i
(To be filled in by individual proposing developrnent)
Signature
Print or Type Name �
i/Telcp}�onr.l�tintl�c. �

/(2/721 S Y 15/7 v d /C %l C[17
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,A.I.)J.Al..l!A 1 KIYA.K AN -IN Mt.,lY_ �!.A.4 Y QVvj'N'r-,K. Z� 1 AlrA rAN I
I hczeby Certify that I own property adjacent to &II4 /e AI;a-I G . �(!�p A, ,s
.__. (Naute of property 6w )
Properly )ocatcd at.
,
(Lot, Block, Toad, etC.
(Wxtety)
Ile his described to min as shown below, tlre,� development: he is proposing at that location,
and; I have no obj(_,�tions to his projKi A-
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)):4,;; CRFJ-1j10N .A\71)/QR DRAY LNG OF PROPOSED DENT:.t 0PAT IN I
(To be filled in by individual propo.dn & dewloprmm)
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Signature
Print or Type Name
r. l 14-e n
Teltpborw Number cy i 9_ 6 a— y 319L
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