23521_KENNEDY III, WALLACE_19991013

CAMA and DREDGE AND FILL
G E N E R A L5�
PERM I T v
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
Address
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
I PROJECT DESCRIPTION SKETCH
Pier (dock) Length
Groin Length
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
State
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.
Phone Number
Zip
(SCALE:
applicant's signature
permit officer's signature
issuing date expiration date
attachments
application fee

BEST SERVICES INC.
P 0 BOX 576 PH 919-728-6593 3 6
HARKERS ISLAND, NC 28531 d 66-1521531
1 �� 19
PAY TO THE
ORDER OF lV ,v V"
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Wachovia Bank of North Carolina, NA.
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FOR Ju'.k l�l 4 —
i:05310L5291: 5468 0042160 0360

I hereby certify that I own property. adjacent tc. WAU_Ace" f _ Kemoc, r, � 1�tuyY)
(?dame of Property Owner)
property located at
(Lot, BIock, Road, etc.)
on I " ' T I � �in cc, -/, N. C.
(Vaterbody) (Town andlor Coun )
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 A_�rD/OR DRAWDL G OF PROPOSED DEVELOTv �T
(To be filled in by indivdmu' propo 7ng developmen,"
t� (a
Pnnt or Type Name
Telephone Number
Daty: lvv�f

I hereby certify that I own property. adjacent tc, (il 6tjA(C, f} , ,�'e,,�n,e�Qy TI
(Name of Property O er)
property located at _C , z-i
(Lot, Block, Road, etc.)
oneC.... ,rc,', 15 n ,��, ��rF`f N.C.
(Waterbody) f (Town and/or C uo nty)
He has described to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
DESCRI?P'TION AND/OR DRAWLNG OF PROPOSED DEVELOPMENT
Print or Type Name
.2Ez) -? 2,�--7�( o
Telephon,- Number
Date: 2