25649_HURLEY, BRADY_20000622

Applicant Name
Address
'0
CAMA and DREDGE AND FILL �fY
5F49
G E N E R A L
PERMIT 4s-
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
Phone Number
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
State
W&
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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.
applicant's signature
permit officer's signature
issuing date expiration date
attachments
application fee

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"846'81570328 C?00i-tEl[phone], **50*00
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vol� ID
ESSIONS
B 468 IS 70 3 Mill
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ADJACENITRJP"R(k+j" ctpjMTy0,*V-
jq
(R'R A �,FEWRNCOJERED,Uq j.A
I hereby certify ttlzt r 0,�m prope) t-
y Adju nt
trtv
)rP7P*rtY OTncx)
Property located at 75j!§jt0jt
U T
t, -Slockt Road, etc.)
an i
(Watrrbod - '- -'-' ——C—
wn
Y� (ToZ—z
&70;7-qQ�y')
He W deu.-IA67A W aie, as shown below, the developjvjt.,,t;-,e S
location, said, I hAv�� -7�6 vfy",%�ons to his proposal. I understmd A nxWsing at that
inust be sot ba, -k a -,-1-YI-jip 1111 ji,, 41M B Piedw.covered bw Uh
waived by me, S'UPCC Of fific= feet (15') from MY ayom,'-�LJparian access milers
T-3 I*aive the setback requirement.
412 *;dve that setback requirement.
k",/CR 11RAWING OF PR
OPOSE.) r:
tb he fWed in by indv&md proposing devekop.
IPIO(B t /I e
01) 16(
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Print or Type Name---
Telephone Number
Dam: 222L—
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AI)JACTNT Rjp"'&q "YJPCtPERIT OWNT,,R SIATENI,4.'
(FtR A &'5'fWtINC0IPZRED Ef)Aj, I tFn
I hereby cerfify ttig I jwn proM.ty
ad
e 0
Pn)Perty located at -1-tu
(Lot, Block, Road, etc.)
on
(Watr-�,bGdy�
He has desrri4-,j tj) lre, as shown below, the developvrit�,,t fJt ;S PrMosing at that
locz.tion, mid, I hRvii* ' ',`0 vt,'I�K�oris to his proposal. I understand GNora piortulcove lift
I
must be set bark a,�., q%jj?! red boat
.-41� distance of fifteen feet (15 ') from my axpa �-,, --,
waived by me. g Vanan ac,-= Imless
I 'Y",h t) waive the setback requirement.
verve dw &PIback Tequirement.
&N-91OR MA WLNG OF PROPOSED Q� n
.40 he.,44"ed in by inXvidual Proporing d"*&y;,
7
Signature
Print or TAX Name
3-
Telephone Number