21014_CONNOLLY, BOB_19931217

god
,�=.!".;,:'-•�ti?';.r+t�nN +a�+=s� ^":r-,fc'.:-:x�c-�^�vA'::� �;73 d'��:�:" - . t.., ,i _ , �. .. _ Y�""�'.,^"
CAMA AND DREDGE AND FILL MPH_�
GENERAL �
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 - Phone Number
Address
City State Zip i
Project Location (County, State Road, Water Body, etc.) zd
C
'Y ,l Ugh
Type of Project Activity =37 i :� r1
Uy
PROJECT DESCRIPTION
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
SKETCH
4 i AN Mi,vi,100F1 1°�7t
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.
ls�r
(SCALE: f )
appncanrs signawre
, `j,
permit officer's signature
issuing date
attachments
-7
expiration date
j
In issuing this permit the State of North Carolina certifies that -t 1 �U.
this project is consistent with the North Carolina Coastal application fee
Management Program.
cl` NI). ulu,)

BROAD CREEK
B CONSTRUCTION INC
PH 252-249-0523
11 CREEKVIEW COURT
MERRITT, NC 28556
PAY TO
THE 9I3BfROF
ITACHOVIA
Wachovia Bank, N.A.
b-o. NC 28515
GN1I )
021 a" ,, ,a// CD 109g' l.
i a 16iqJ J ibl
FOR �CXljo ,LA5.4, 1" ( a< T tJ1:e rf
:0-5-3 10 15 291: 0 78 L 00
4208
66-152/531
DAl[ l ��1G - ?cS—
LAM �n�iun� nroown•
o imi. � o�•w
-41,� _—v C-1— � NP
L 240111, 4 208
.. ... �1�'2�t.}'.it "7�'Rr. a�i•D77 ,6'MtF^.+ � .. ... �� ACi� .-, ��• 4.�. �e" � �iy
r.

I hereby certify that I own property adjacent to 1( .A /�II,J is
(Name of Prope y Owner)
property located at '� v�-
(Lot, Block, Road,
on
1� �r�s��_ ��v�y— , in / ;vc�vt L� , 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 proposing development)
Signature
Print or Type Name
Telephone Number
Date:

1 1 • , • • • • • • •!'I I1 •!
I hereby certify that I own property adjacent to Lam-=), �`;,� ;,, vlc ) /,> is
(Name of Property Owner)
property located at � c; �) 2a- !4 S?CA - 1�
(Lot, Block, Road, etc.)
on (� �� s.�_ �<<�e� , in , 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)
w
S' natur
�q�
2(�L pe;:iz �
Print or Type Name
2S21- �44-7- S1 <-L2.
Telephone Number
Date: 27 �'J o v (�? 8