19836_MATHEW, STEVE_19980902

07A
CAMA AND DREDGE AND FILL
GENERAL ld f $36�c'�
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 L�'�1'/7Y✓,;�`cs1
Address �S'� i Ai- r,. ,4-
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION j SKETCH
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
Phone Number �' '' i- 0 S ? i,-
State .J .�✓
zip
(SCALE: Ai //r
r) , vfri -, lnJ
f> �C
1�
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
permit officer's signature
issuing date expiration date
attachments 0) N I l i.'
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee
Management Program.

~w� BROAD CREEK 66-30/531 r~3833
IBCONSTRUCTION INC
PH 252-249-0523
11 CREEKVIEW COURT 'Date
MERRITT, NC 28556
3 Pay to t(
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order f $6
CL� `Dollars
FIRST CITIZENS 471
O 1p A First -Citizens Bank 8 Trust Company
u jt'>atN [I �l\ Bayboro, N,C. 28515
`For of4836-C
1:0531003001:00LO7LL022674il' 03833
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to S ! a= ; /_ �i )�-, , , )? f 1,6, 's
(Name of Property Owner)
property located at
(Lot, Blch6k, Road, etc.)
on _ A7 - 4,) r r,7 f� �_ iC_ �:, , N. C.
(Waterbody) -( County)
He has describers 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
� /- tza Print or Type Name
2i/Ii, `7��
Telephone Number
Date: ,per %' fz

I hereby certify that I own property adjacent to q7e c %� T ;;ir.y 1 r c is
(Name of Property Owner)
property located at
(Lot, B115ck, Road, etc.)
on in 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)
Si-n tore
G�K ZI"*f4n-eSSITV
Print or Type Name
2S1a-;7-yI-0�l�(Z
Telephone Number
Date: li� ( ( ? 1 ?621