17044_JENNINGS, ROBERT AND HELEN_19970408

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CAMA
GENERALND DREDGE AND FILL 1 7(y d
0i i 64,ice
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 rw`.
Applicant Name 1i� 01114 Phone Number
Address 9�2 y ti
e
City lei �u _ State AA- Zip ib 95 1
i
Project Location (County, State Road, Water Body, etc-.)
Type of Project Activity
PROJECT DESCRIPTION I SKETCH
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
_Pohl post 1)
(SCALE:
1(
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.
0
applicant's signature
permit officer's signature
9? 1�1- �3-C%7
issuing date expiration date
attachments 07fi /Z""
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application fee CJ "`� 2 _ 3 3

BROAD CREEK f b-30471 2333
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CONSTRUCTION INC
PH. 919-249-0523 pp
11 CREEKVIEW COURT S�---I`�--G--
MERRITT, NC 28}55566 I /
Pay to the
order of
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�li� !' BA Bayboro, N.C. 28515
1:053100300i:47LLO22671,002333

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to o r- - % ,t NP,Lp � jeu H Ilir s 's
(Name of Property Owner)
property located at t a y a 4 f/ g r T fir a ti c e)—
(Lot, Block, Road, etc.)
on &CI- s 4 a uw e 1, e e/V , in D t e q Ta. ( — pa /, c v Lev y , 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.
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DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
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Sig re
cercc d— err
Print or Type Name
Telephone Number
Date: -? --2 0 -- 9

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to go b er-t 4 Hel e h J e ►1 h e n &S S
(Name of Property Owner)
property located at L o T l y 9 a. ';. Li N g h 7- D Y i e ,, 6 u. C C a N Pr— Qu y LUP6 T
(Lot, Block, Road, etc.)
on A E y S A c w ep -e -elC , in O ►-, e � ra ( Pe, w, fi ro Co v,, T Y , 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.
— b ° L---- !'-l-T --- ± ° A---- a- 3------b' c' fir_ °_A
--------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
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60 f r
' fX15?iN� Pier
(1467- %O
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k oT l 0 y
Signature
Print or Type Name
scCt/r )
,-07 /OS —
GfzG— /75
Telephone Number
Date:
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