22270_PARKER, RALPH_19990527

CAMA AND DREDGE AND FILL W, /
GENERAL _ 22270 -
PERMIT QD ��� � l�� �
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission 1
in an area of environmental concern pursuant to 15A NCAC 9,
Applicant Name Phone Number
Address
City State Zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION ' SKETCH
C
(SCALE:
Pier (dock) length
Groin length (' C t..! c.. �^ ,�, _ N<. r' Lr\ -L,,; ��. i1 L,.
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards _ y
h
Boat ramp dimensions
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-
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.
0 i � Z��2
applicant's signature
permit officer's signature
issuing date expiration date
attachments�����
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
application fee

A. Ralph
Betty S. Parker 66-30i531
Ph. 919-243-6486 366 3436
1400 Raleigh Rd NW
Wilson, NC 27893
DATE �Y' � 7-
PAY TO THE
e
ORDER OF IV
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I rro or: Micro Prints nature line, ra t and lincwork. First Citizens Bank IoKo on back. If not present, ---- —LLARS
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cash
BANK CITIZENS 3� Charb D�r
First -Citizens Bank 8 Trust Company 1.7L
Wilson, N.C. 27893
FOR
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