21199_HODGES, RICHARD_19990301

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CAMA' AND DREDGE AND FILL
GENERAL NV 021191 G
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.)
Phone Number
State Zip
K
Type of Project Activity1L+NG;
l-1 t' t o D r T -t— . T u ,- l
CD , ' i F t i "Srt-1) f r i ," ICj-i x
PROJECT DESCRIPTION SKETCH (SCALE:
Pier (dock) length
Groin lengthc��!
number`> i
)
Bulkhead length �i 7v (?� �'ti�� i,'S b _ + I �I (q. t° Fr o
max. distance offshore —sy a I-�
Basin, channel dimensions
cubic yards
Boat ramp dimensions
3 r4> rl�ti-D
Other NI
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.
attachments
appncant-s signature
r
permit officer's signature
1 7✓a 4Q
issuing date expiration date
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
application fee_
i 77-) . 00 C 1, • i,—�a IM 4 c:>

BROAD CREEK CONST INC.
44
46 6
[phone]
e�J 11 Creekview Court y7 c� 66-152/531
Merritt, NC 28556 DATE
PAY TO A '
THE ORD �( OF \/ Ci /
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$I J44Z OL-LARS
4WA
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Wochovla Dank, N.A.
Ik�ryjl.M,�N_C 28515
FOR 1-- I It)CSp� I I m+
l:0S3LOLS291: 0781 001240n■ 4446

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to t tive-0 Roc&e is
(Name of Propertf Owner)
property located at %C� l ,��� �� 7U � � d'
(Lot, Block, Road, etc.)
on �rvu��I (j�e�1� , in �Gc 1v��! c� C� , N.C.
(Waterbody) ( ounty)
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)
J % '� "'t 1 j, , -ro c4 v CJ&
d 2 �3C, A- �, 1, Q+ S
Print or Type Name
Telephone Number )
Date: ' /��

iQ 19.99 13:25 FA.k S.Iu 947 55,ti.3 �11c.Ru'� BIii-S15T. �O1
Ia,199� 2:.0:: 25224,92916 BRCaDCR�E�';ONS P �uE al
ADJAC'r'%+fi RIPARIAN PROPERTY OWNTR STATEMENT
Y hereby , t I own property adjacent to 1 C'L2v' d 14"'s
(Name of PropertyOwner)
property located at () � vim k
(Lot-, Block, Road, etc.)
cnyWU► (j v*e_- _, is _ . r c. o N,C.
(Waterbody) (T40M.60dAer County)
He has described to me as shown the development he is proposing at that location,
a,^d, I have no objections to h:s proposal.
­ zCRIPTION ANMOR DRA«' N' Cr OF PROPOSED DEVEMPMI T
(To be flUed in by individual proposing develo_• .rent)
d'J /S to Z_>n��
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or Type Name ��
Soo 1))') � ) C 7
Telephone Number
Datr: �2
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