23678_HUFFMAN, JIM_19991123

CAMA and DREDGE AND FILL dap
G E N E R A L 23678--
PERM I T
as authorized by the State of North Carolina
Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC
Applicant Name Phone Number
Address
City State Zip
Project Location (County, State Road, Water Body, etc.)
i
4
Type of Project Activity
PROJECT DESCRIPTION SKETCH
Pier (dock) Length
Groin Length
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 become null and void.
This permit must be on the project site and accessible to the permit of-
ficer when the project is inspected for compliance. The applicant certi-
fies by signing this permit that 1) this project 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.
In issuing this permit the State of North Carolina certifies that this project
is consistent with the North Carolina Coastal Management Program.
(SCALE: )
applicant's signature
i
permit officer's signature
7 ice,
issuing date expiration date
attachments
application fee

3 66-1185/531 1684
MEDFORD CONSTRUCTIO w�v v; A 0931000210
802-B NEUSE DRIVE 919-635-52427& {-}_ Wrno
NEW BERN, NC 28560 DATE
PAY TOTHE ORDER ! r c ¢ 6
ORDER OF � , //, !:� � J� / �Oi �
&TRIANGLE
ASK BANK New 7Bem; NC 28560
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':0531LW3S2':09310002101m 1684

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MEDFORD MARINE CANST.
P. O. BOX 35%
NOW KRK NC 20%4-3636
00 iSAM . FOX 00 6354970

Nave of Individual Applying For Permit:
Address Of Property: l �� ` � J'l
(Lot Er SEEM 1, Meet or road, G ty & County)
I hereby certify -that I own property adjacent to.the above -
referenced property. The individual applying for this permit has
described to me as shown on the attached drawing the development
they ara proposing. A "scription or drawing, with dimensions,
should be provided with this latter,
I have no objections to this proposal.
I understand that a pier, dock, mooring pilings, breakwater, boat
house, lift or sandbags trust be set back a minimum distanc,e of 15
from my area of riparian access unless waived by are. (If you wish
to waive the satback, you must initial the appropriate blank
below.)
I do Irish to waive the 151setback requirement.
ti I do not wish to waive the 151setback requirement.
g
riht,Nale ,
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elephcne Numcer with Area
e
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MEMORD MARINE CONST.
P. Q. BOX 3556
DIEM KRK NC 26564-9556
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Maze of individual Applying For Permit: T % m Ho P4 nq 7
Address Of Property: I O y' "Pic;., f '-) f ;Ic1," D
(Lo or ree , street or Road, City & County)
I hereby certify. -that I own property, adjacent to_the above -
referenced propgrty. The individual applying for this permit has
described to me as shown on the attached drawing the development
they are proposing. A dFascription or drawing, with dimensions,
should be provided with this letter.
I have no objections to this proposal.
I understand that a pier, dock, mooring pilings, breakwater, boat
house, lift or sandbags must be set back a minimum distance of is,
from my area of riparian access unless waived by re. (If you Nish
to waive the satback, you must initial the appropriate blank
below.)
I do wish to waive the 15'setback requirement.
I do riot wish to waive the 151setback requirement.
SS4 ature Coate
Print Name �....�.
Te eahcne Number With Area Code

FILE
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MEFORD MARINE CONST.
P. 0. 80X 3556
MW BERK NC 28%4--'fti
1 0654W • FAA (252} 6354WO