23160_MITCHELL, PETER_19990726

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Applicant Name
CON
CAMA AND DREDGE AND FILL C fq�
GENERAL N? 231 0 - C
PERMIT 7-1,,a`l,_1�.�
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
Phone Number
City y" State Zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION
SKETCH
(SCALE:
Pier (dock) length
Groin length
i
number
Bulkhead length
I
max. distance offshore
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t
t
Basin, channel dimensions
!
cubic yards
i
Boat ramp dimensions
'!
�+
Other
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This permit is subject to compliance with this application, site
drawingand attached general and specific conditions. Any
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violation of these terms may subject the permittee to a fine,
imprisonment or civil action; and may cause the permit to be-
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applicant's signature
come null and void.k.9
This permit must be on the project site and accessible to the permit officer's signature
permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that 1) this pro- �q
ject is consistent with the local land use plan and all local issuing date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
objections to the proposed work, attachments
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee
Management Program.
expiration date

HODGES MARINE CONSTRUCTION 66-30/531 972
NCDL 1999167 PH 252-745-7018 472
55 BAYSHORE RD
MERRrrT, NC 28556 Date /
Pay to the
Order of- aci So rJ�
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CITIZENS 472
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Registered No. j G ^L I Date Stamp
Reg. Fee $ b Special $
Delivery
m ° Handling $ Return $ j , 96
c o Charge Receipt I
o Postage $ r� Restricted $
m ; e1 Delivery
F m Received by Domeestielftuience
Is Limited To
Customer Must Declare ��[::)Wj,,.h,pos,a, $ndemnInternational
aFull Value $ncIndemnity Is Limited
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PS Form 3806, Rec t for Registered Mail (usromer copy)
February 1995 (See Information on Reverse)
Registered No. e,, C, Date Stamp
I T Z iS
Reg. Fee $ Special $
d V Delivery
d •" Handling $ Return $
a o Charge Receipt {
m oo Postage $ ! Restricted $
Delivery
m Received by Daitestic.Insurbnce
Is Limited To
Customer Must Declare With Postal 525,000; International
c ce Indemnity Is Limited
Full Value $
Without Postal (See Reverse)
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PS Form 3806, Rec4rpt for Registered Mail (Customer Copy)
February 1995 (See Information on Reverse)

Sorry We Missed You! Article
UN,TEO STGTES We 2eDeliver For You. Today'
ate Send s Name
AY)STal SERVICE 1.
Item ost Office e rev rse) .
Is at: ❑
❑ IF CHECKED YOU MUST BE PRESENT AT TIME OF DELIVERY TO SIGN FOR ITEM.
C�L2fFer ❑ Express Mail (redelivery Article Requiring Payment: ❑ FINAL NOTICE
next delivery day ❑ Postage Due Article will be returned
❑ Large envelope, unless you call to hold ❑ COD ❑ Customs
magazine, catalog, etc. at post office to sender on:
p ) Amount Due: $
❑ Parcel ❑ Certified A re see Name (Print)
❑ Insured
❑ Delivery Restricted O'Registered ddress40
to Addressee ❑ ReturnReceipt
for Merchandise '5
❑ Perishable Item ❑ Recorded Delive
(International) ry Received By (Prin(oame and Sign)
❑ ❑ Special Delivery y
p/ Delivered By I Date
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PS Form 3849, December 1994
Customer: Describe any Visible Damage
Delivery Notice/Reminder/Receipt
61

ADJACENT RIPARIAN PROPERTY Ov-vVNTR STATEMENT
hereby certify that rows pro
r- 0 _AY_�aia&&n-t-_t6­-----_ e
-.'s.property6cat I ed it
-
-Narne -of Property Owner)--------.
(Lot, Block, Road, etc.)
in N.C.
(WAterhody) Town and/or County
The applicant has described tome, as shown below, -the development proposed at the above
location. I understand that any construction, excluding bulkheads, must be set back a minimum
distance of fifteen feet (15') from my area of riparian access unless waived by me.
I have no objection to the project as proposed but do not wish to waive the (15') setback -
requirement.
I have no objection to the project as proposed and do wish to waive the (15') setback
requirement.
I object to the project as proposed.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
1�-3 �z:Gee
Print or Type Name
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Telephone Number
/Nignature
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Date