23203_DOROTHY MOORE TRUST_19990816

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CAMA AND DREDGE AND FILL
GENERAL 23203 — 1
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.41
PERMIT «-le-
aoauthonzed bythe State of North Carolina
Department of Environment, Health, and Natural Resources and the Coa stal Resources Commission
| in an area cfenvironmental concern pursuant to 15A NCAC
Applicant Name Phone Number
Address
City State Zip
Project Location (County, State Road, Water Body, ou`.)
/
Type ofProject Activity
PROJECT DESCRIPTION SKETCH (SCALE:
Pier (dock) length
Groin length
number
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
This permit is subject to compliance with this application, site
drawing and attached Xonom} and specific conditions. Any
violation of those terms may subject the pormitmo 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 l) this pro-
ject is consistent with the local land use plan and all local
ordinances, and 2) u written statement has been obtained from
adjacent riparian landowners certifying that they have no
objections onthe proposed work.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
attachments
application fee
/|
applicant's signature
permit officer's signature
issuing date expiration date
' ^ ~

CHADWICK CONSTRUCTION CO. INC.
LIC. 2294863 2916140
PH. 252-728-4504
327 STEAMSHIP LN.
NEWPORT, NC 28570
PAY TO THE
ORDER OF_
66-112/531 --- 3872
5110093626
DATE
$
DOLLARS El
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2lMAKCN905 sANKIKOBRIDGES ST'KD -S—V REET COMPANY
MOREHEA�D�C�ITY, NC 2815,7„j60-L�.
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AUG-13-99 10:01 AM ROBERT 1.OUHL 851 6888 P.02
ADJACENT i RIPARUN PROPERTYOWN.-ER STATE1M INT
y
I hereby certify teat T own properrl adjacent to e,, 4-. .• �c ,j 's
(Name of Property Owner)
J
property located at �f ` 'y�
(Lot, Block, Road, etc.)
en in tee° . c �� s _ 5 f.:.�.r N. , C.
(Waterbody) (Tow-z and/or County)
He has descnbtd to me as shown below, the develcpment he is proposirg at that location;
and, I have no objections to his proposal,
DESCRIMON AINWOR DRAWDiG OF PROPOSED DF vTLOPME'N7
(TO be filled in by indivdual propos-ing dereiopment)
fla e- hit
Signa�aze ��
ftxa or Type Name
Telephone NL,,nbcr
Plate:

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
�'s
ame of Property Owner)
property located at
(Lot, Block,/ /Road, etc.)
onr-.� , in _ f�_ 4 �-��e` s �S �4��v � N. C .
(Waterbody) (Town 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.
AUG 16 1999
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
P�Gf(e 'roc 7o i2�ai1^ e�/�cC�
C>C 1 57/ vS /J C/Ile i ec"�/
Signature
�Z����
Print or Type Name
2-57Z- 5a'Y-3 2Y�
Telephone Number
Date: C '`p