21143_BAYLES, JOHN_19981223

(t I
CO.
CAMA AND DREDGE AND FILL
GENERAL' 0"
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
Applicant Name
Address
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
State
Phone Number
Zip
I � i ` -t
PROJECT DESCRIPTION SKETCH �r ,�-. ti`� (SCALE: )
1
Pier (dock) lengthY\�
Groin length
number=
Bulkhead length %� - _ --• I --� _�-.-_�•�_ I ,_ �—+::_ . _ �'�.?�_:'-
7.
max. distance offshore
Basin, channel dimensions
cubic yards
rst►'I/ ,;,�-,-� a<1'ralJ i � ►'r,4 LK NF A c:,
—•e
-v, k tr''.(-,'.,Tr. -4, oZ� CT
Boat ramp dimensions
��.i`7l C��L �`�1\�.. r•'!�``�. -�-_�/ _r~ic (^�'{C•. i r^. r�\;�i �)
Other
.:�iti i1 ,_'F-' /:•I� 11 ��,). fa T(a �. Ciif\ � , )
ti'- �� 'I C t-IJ i�- l T C-e�. V i',� �) %-� �\''F •Z (, `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.
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applicant's signature
attachments "
permit officer's signature
issuing date expiration date
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee "
Management Program.

PAY TO
VVTA�
BROAD CREEK 4229
CONSTRUCTION INC
PH 252-249-0523 66-152/531
11 CREEKVIEW COURT
MERRITT, NC 28556
— ni k- I
OF $
i A v
Wliebovia Bank, N.A.
Ikq Lure, NC 28515
Foji Aq im
1:0 S 3 LD L 5 291: 0 7a L 00 L 2 1,0n, L, 2 2 9
Sr'/� vrj
LAIkS

ADJACENT RIPARIAN PROPERTY OWNER STATEMENI
I hereby certify that I own property adjacent to ) (,, � pI 13 n )- s 's
(Name of Property Owner)
property located at Ic N,e
(Lot, Block, Road, etc.)
on ocd( in N.C.
(Waterbody) (T 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 DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposin development)
i
V 0-0 d�ie
cJLM tj
13o��uvs�
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Signature
Print or Type Name
Telephone Number
Date: 1,2 -- �G -

Ho I I ouie I I &Ho I I owe I I ID:919-745-5917 DEC 23'92 15:59 No.004 P.01
ADJACENT RIPARIAN PROPERTY Q ,� STATE, ME,
I hemeby certify that I own property adjacent to 56 r, (3eJ,.. is
Tame of Property Owner)
property located at �uti+ew+�rfr_- R 0, ,
Ut, Block, Road, etc.)
i3alk . L&- , in C «,. 1" "' , N.C.
(Waterbody) ('lre��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.
DFSCRIMON AND/OR DRAWING OF PRNT DEVELOPME
(To be fulled in by individual prop ng)(evetopment)
OWNAG� Ptd
5i�nature
Pt ILA
Print or Type Name
Telephone Number