21098_REI, NUNO_19981217

CAMA AND DREDGE AND FILL r2�1E�9$ -C
GENERAL A'�
PERMIT
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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 -
Applicant Name
Address
Citv
Project Location (County, State Road, Water Body, etc.)
'
Type of Project Activity
PROJECT DESCRIPTION I SKETCH c _ - 3
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
State
Phone Number 'j�r'"-- —
zip r ! G 7 I
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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.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
permit officer's signature
issuing date
attachments
`/2U7
application fee
expiration date

BROAD CREEK 4208
CONSTRUCTION INC
PH 252-249-0523 66-152/531
11 CREEKVIEW COURT DATE
MERRITT, NC 28556
PAY TO
T�H E 011 OF
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HOM
Wachovia Bank, N.A.
It I INC28515
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Aug-22-98 12:07A Peggy Padgett
252-638-7893
P.Ol
ADJACENT RU?ARIAN PROPERTY OWNUt STAT]DgENT
I hereby certify that I own property adjacent to _ ,h1 ; ,'1, _ e' F . , is
(.dame of Property Owner)
property located at _ 1�1 , , O5 ). 6 + ► �� ,
(Lot, Block, Road, etc.)
on N.C.
(Waterbody) (Tam 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 DILAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
-_- -- ----------------------------------------------------------------------------------------
Signature
Print or Type e
_// V `/- ---
Telephone Number
Date:

l
1 5
j8 08:20P Peggy Padgett
252-638-7893
P-01
ADJACENT RIPARIAN PROPERTY OWNER STATFM-ENT
' hereby cert f�j that i own property adjacent to _ I\_1 I
(! arne of Property Owner)
property located at--
t
(Lot, Block, Road, etc.)
N.C.
(Waterbody) (Trim -sir County)
He has described to me as Shown below, the development he is proposing at that location,
ard, i nave no objections to his prcposal.
DE.SCR.IPTTON AND/OR DRANNM G OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
`i
- ---,
_-7
Signature
� Ae!,—
Print or Type Name
T iephone Number �—
llate� ��,