21496_BRIND, NOEL_19990316

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CAMA AND DREDGE AND FILL
GENERAL 1 s 021496
PERMIT >. Ole
as authorized by the State of North Carolina j
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC
Applicant Name ��� -PSI=w(�
Phone Number
01�D- y�C>-
3333
Address ' H IL_-_
City State
Zips 1
Project Location (County, State Road, Water Body, etc.) ;r)
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u'K. �r�. �� l 1�(..>+_ fry
City% Cad• Nt f-1'r"11 �,wc
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Type of Project Activity '' `'x i��<t-Cf`r 1 J�Z <��
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PROJECT DESCRIPTION
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
SKETCH
( car
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.
L,c)I��
11�1'� Z r�1'•
1
(SCALE: Nc ij1 )
applicant's signature
permit officer's signature
issuing date expiration date
attachments 0—)t} I , +lD
1\
application fee
+

BROAD CREEK CONST INC.
[phone]
11 Creekview Court
Merritt, NC 28556
PAY T(A
TFiEOR OF.
4598
unit
66-152/531
$ J`lJ-�
_DOLLARS B
Wachovia Bank, N.A.
- "-1 I u. NC 28615
FOR �' -Bt_�
1:0S3101S-
w 0 78 1 00 1 240n. 4 59g --

A
I hereby certify that I own property adjacent to Ni &.e/ 13\--i a-t4 Z 's
(Name of Property Owner)
property located at
)�-0)3
(Lot, Block, Rbad, etc.)
on �vse- in _ �°.rnUtan , N.C.
(Waterbody) ( 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 proposing development) `t
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LIA
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' nature
Print or Type Name
Telephone Number
Date:

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to NO 0--- L aR/ADD is
(Name of Property Owner)
property located at L vr 3 o F cass &w o o -�k:- ki wsa ,
I (Lot, Block,,Road, etc.)
on SSF-- �' 0&V— , in CCAV6-N3 �pc!►J; 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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
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LoT�� W� �'�2�izo►�T L3oJ*��A'�.Y A� 1> 3AC K.�1 tom.. c�F
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!�>urz�., VA 220►�
ignatu
( A4c..5r Foz.-)
Print or Type Name
z5z. -4-t-t tS 14 z
Telephone Number
Date: 1/ t Z-/4ci