22281_DICKIESON, PATTY_19990610

O
I-
CAMA AND DREDGE AND FILL <c�'
GENERAL N? 22281 -C.
PERMIT '41
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
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION
SKETCH
(SCALE: )
Pier (dock) length
f G E�I,;fk..
� [,�5, i
— -�
(FYI
Groin length
I
number
Y.
Q
Bulkhead length
l .i"
max. distance offshore
�..-
� .. ��._r � ,+ T'�t{�(.�
j ,�
a } • ' '�i .
-�.,
Basin, channel dimensions
j �•
i
cubic yards
I �"
i
Boat ramp dimensions
I c ' tf+-
Other
t
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,
applicant's signature
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's signature
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 issuing date expiration date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee
Management Program.

8
BROAD CREEK CONST INC. 4757
[phone] 66-152/531
�,J� II Creekview Court
Merritt, NC 28556 DATE
e-0,.
D.,i on O..k.
Wachovia Bank, N.A.
Bayboro, NC 28_515I
i:05310L5291: 0781 00L240n' 1,757

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to \% c�L i 2 �1 's
(N e of Property Owner)
property located at M 1 i s 1� z ,
(Lot, Block, Rba-d,, etc.)
on ���e-r� ✓� �2(AnJ'((-' (-) , 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)
m
ell
Signature
z�2 zYe c' -C,
Print or Type Name
_C�z ZZ-- /L�2,;?,
Telephone Number
Date: `7

cwj� �v