21000_HOFFMAN, JIM_19981006

CAMA AND DREDGE AND FILL �c�P
GENERAL ? Oil 00 rC
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 lJr� l/GU
Applicant Name tH 41,i, A-opv-iPhone Number
Address e.0d,
City State G Zip 976
Project Location (County, State Road, Water Body, etc..)
Type of Project Activity /00
t �
PROJECT DESCRIPTION SKETCH (SCALE:
Pier (dock) length
Groin length
number 'a --�" �� Z i _, f IV
C (G L__ __.-
&�ad-length
max. distance offshore
Basin, channel dimensions 1 ' � �! ��Z
�I ��
cubic yards
Boat ramp dimensions ( /
Other 4
r
J_� ►mil th.� f F'!�7 a4 N ��, i ------.--�_..._-
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.
applicant's signature
%r J
permit officer's signature
issuing date expiration date
attachments (' W. //00
In issuing this permit the State of North Carolina certifies that o„ f
this project is consistent with the North Carolina Coastal application fee
Management Program.

BROAD CREEK ss-3orss� 3956
CONSTRUCTION INC
PH 252-249-0523
11 CREEKVIEW COURT `Date f,
MERRITT, NC M56
3 Pay to die_
w Order o
allots
HARSI' CITIZENS-,
p � tI First -Citizens Bank 87rus[ Company
e l� Bayboro, N.C. 28515
Tnripido2lool-Cfoyood- �,o2ioo2-C
i:OS3L00300i:0047LLD 22674ii' 039SG

I hereby certify that I own property adjacent to T 1,ij /I c4 -ltvl , , is
(Name of Property Owner)
property located at L YA « (",-,vy �� 2 ,
(Lot, Block, Road, etc.)
on l� E i_ c'_ v gY in l r t' c N.C.
(Waterbody) (Teter 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
C2S �- ) clo I ?,2 2- F"Z 6
eleph6ne Number
Date: ��

ADJACENT RIPARIAN PROPERTY OWNER STAITNMN T
I hereby certify that I own property adjacent to J , ., 74_ CL w4 t 's
(Name of Property Owner)
property located at
(Lot, Block, Road, etc.)
on 11J Q N.C.
1 1 � iu nt _ , r' C�
—I (Waterbody) (ToCounty)
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 failed in by individual proposing development)
Y;�CJ
L
S' n tore
Print or Type Name
Telephone Number
Date: t [ S 6-1 vl q 8 --