24884_MALINOWSKI, JOHN_20000321

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CAMA and DREDGE AND FILL
,.� G E N E R A L 4884
PERMIT
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
Citv State
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION CxFTCH
Pier (dock) Length
Groin Length
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
Zip
This permit is subject to compliance with this application, site drawing
and attached general and specific conditions. Any violation of these terms
applicant's signature
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-
permit officer's signature
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
issuing dace expiration date
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
In issuing this permit the State of North Carolina certifies that this project
f
is consistent with the North Carolina Coastal Management Program.
application fee

MEDFORD CONSTRUCTION 66-65/531
802-8 NEUSE DRIVE 252-635-5242 390016285
0390011964
C 28560
NEW BERN, N 85
DATE
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NEW !TERN, NC 285b4-3556
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P. 0. BOX 325%
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ADJACHN'1' RIPARIAN PROP1s1 rY 0WNRR INVNITMENI'
OWR A PIRRAINVC'OVERRI) ROAT IJM
t berthy certify that (own pngtcriy a(*rm it) �'ohn /Ii9 I'll,0 ,ShII 'S
{Nrintr of Prt► m4y OwaPr)
lxrperly Immets la _ 109 S�po, C �.
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till �nNN fJ4r4e,, _,ill J U e - 9rr7 t! "' e'.7 N.(:.
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llo I'M descrilxd to tilt, as AiKtwn tw-hw. the ckvek►sn%cta Lc Is Vw4xv0njt at iltal
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I OQ %visit W waive t1ml selhaek requirentrnt.
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P. 0. BOX 35%
NEW KRN, NC 2856435%
W 635-5242 • FAX [phone]
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ADJACINI' RIPARIAN IMOPUtt'1'Y OWNIM IS1'A'1'IT,MENU
OWN A PIRR/UN(:t7VMIt1) BOAT' 11fn
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t do ntH tvw► to et'afVr tier uffmck millitell kilt.
109 wish to waive that Wimc:k rrttuiremert.
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