19608_WILLIS, DONALD_19980909

CAMA AND DREDGE AND FILL
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 I H i o
_
Applicant Name 1'� ! �' S Phone Number kt- b7Y—r9 5 0 f'
Address r
City '- State 4zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION
Pier (dock) length
Groin length
SKETCH (SCALE: )
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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
; . 14,
applicant's signature
�1
permit officer's signature
/ � f
issuing date expiration date
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee
Management Program.

CHADWICK CONSTRUCTION CO. INC. 66-112/531 3388
LIC. 2294863 2916140 5110093626
PH. 919-728-4504 C` G
327 STEAMSHIP LN. DATE lei I
,. N\EWPORT, NC 28570PAY ToTHE
\
a ORDER OF—
DOLLARS 19
v �
02302 BB&T
BRANCH 9ANIONO AND TRU9T COMGANY
2905 BRIDGES STREET
MORnEnHEAD CITY, NC 28557
Ii-
EMO 1� u 7LClo l�P I. r�f1�--- W
:0531Oli21i:5LL009362Gu0 3388 �,E„o.PFA
«_ _�

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(for a pier/mooring pilings/boatlift/boathouse)
I hereby certify that I own property adjacent to
is property located at ��T q ( -0 f
property owner) (lot, block, road tc.)
on C-��lo (r,iE'C� Kin C CG , N.C.
(waterbody) (t n 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 pro-
posal. I understand that a pier/mooring pilings/boatlift/boat-
house must be set back a minimum distance of fifteen feet (15')
from my area of riparian access unless waived by me.
I do not wish to waive the setback requirement.
I do wish to waive the setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(to be filled in by individual proposing development)
00 V1
CO3 ve, L it Nt
Ho r�i c
r
(919) 84 -8626 FAX: [phone]

ADJACENT RIAPARIAN PROPERTY OWNER STATEMENT

FROM : CHAHCE i_o Ed He l son'=�`I-STEM PHONE HO. : 919 247 6429 _ap. 11 1997 01: O?Phl P1
ADJACENI - ' RIPARIAN .PROPMTY C WNM STATE1 NT
(FOR A PIERIM00R1'NO PrUNGSIROA7'r1'FrIBOAMOUSE)
I benby certify that town property 4a=tt to
QUAW of Property Oww)
a4ty BbeL Rav4 of.)
in c�1f�:fii i r l�� l�++.��r N.C.
(Wambody) ('row `andlor y)
He has did to me, as shown below, the developmW he is propniug at that
Wcdma undo I have w objeWom to his prapasal, I =&raved dM a, pier/moodag
~oetdift%4nw swat be sot back a Min3txtuar distanft of MW feet (1 ) from my au
of dya ka amasa ualm waived by me.
I , wish to waive the set wk tagvirement,
I dg wish to waivo that setba& requirement.
.,a..r� -__�wr�wy..-�++.�.r.�r«.....�.rwww�r�.�««w�+wwr+•..�a..�.ww+rr.ww....w.wr�w�ww�r.ww+
DRSCRIPI"ION AMIOR DRAWING OF PROPOSED DEVEWPUMs
(TO be JW#d in by txdfvt ud pmpaiag Aftwwao
Rat or Namo
V7 -- *7
'rokphone Number
Date' - - - -

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