21001_MANESS, FRANK_19981006

0
CAMA AND DREDGE AND FILL (-C'/
GENERAL i �� 02.1)41_�-d
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 l%;1r//: -2-4200
Applicant Name ' ' �`��J �° Phone Number ;2
Address r %�✓
City G,6':'1 State-- %JG zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity Pe(o^' L -P r+� t, 4a ��S �Ift
A.
PROJECT DESCRIPTION SKETCH (SCALE: )
Pier (dock) length �,
_,- nK
Groin length C4 u {� �+y (j l v-,
6
,, c v o 0
number
Bulkhead length
J I
max, distance offshore
_V Z
Basin, channel dimensions I (6
6 1p o
cubic yards
Boat ramp dimensions —�
Other
i? r ,
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.
appiicanrs signature
permit officer's signature
issuing date expiration date
attachments
In issuing
thisprojispermit
consistent
ectiswith forth Carolina
certifies
lf theNo North Carolina Coastal application fee
Management Program.

IBBROAD CREEK � � 66-30/531 3956
CONSTRUCTION INC
PH 252-249-0523
11 CREEKVIEW COURT ,Date
MERRITT, NC 28556
Pay to t/ie
Order v c,'
FllRKl'Ci,nZENS-
BANKFirst-Citizons Bank &Trust Company
Bayboro, N.C. 28515
i:OS3100300,:004711022674it' 039S6
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I hereby certify that I own property adjacent to Fra,n )e, Ma u e-5s I
(Name of Property Owner)
property located at M" I/t R d ,
(Lot, Block, Road, etc.)
on (3Y0010 P,'1PtA lC. , In -k I �c, a , N.C.
(Waterbody) (T 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)
y a a Q.
]7
Ignature J
(� I
Print or Type Name

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P. 01
ADJACENT REPARIAN PROPF'RTY OWNf t STATL-NMN T
I hereby certify that I own property adjacent to &1 -011 , 2)Pn I.
(Name of Property Owner)
p; optaty located at
(Lot, Block, Road, etc.)
in
(Waterbody) (Tama-aa&er County)
Rc has described to me as shown be;ow, the dvelopment he is proposing at that location,
and, I have no ebjcctior,s to his proposal.
DUSC'RIP 0.N AND/OR DRAiNT G OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
IV C - r
Sl Lue
Print or Type Name
Telephone Number Q'
Dace: ��