25588_MILLS, JOHN_20000602

CAMA and DREDGE AND FILL
G E N E R A L
P E R M 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
Address
WA
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
State
Phone Number
Zip
PROJECT DESCRIPTION SKETCH
(SCALE:
Pier (dock) Length
r-
Groin Length
number
-•
Bulkhead Length
max. distance offshore
.,
LT
Basin, channel dimensions
TZ
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q.
a
cubic yards
Ea
Boat ramp dimensions
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Other
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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.
/ t
t applicant's signature
permit officer's signature
issuing date expiration date
Attachments
application fee

21240
C & C CHIPPING, INC. 01-92 WACHOVIA BANK, NATIONAL ASSOCIATION
BAYBORO, NC 28515
PO BOX 257 66-152/531
GRANTSBORO, NC 28529-0257 5/23/2000
- $ **50.00
PAY TO THE NCDENR
ORDER OF
Fiftyand 00/100***************************************************************************************** DOLLARS
8 Security features
Included.
Details on back.
ti! ` WIP
MEMO John Mills `aSS�� --- — -
0021240111 :053LOL5291: 07a9 0012411

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
1 hereby certify that I own property adjacent to ___.-7 1n
(Name of Properly Owner)
property IMIted at
(Lot, Block, Road, etc.)
onison s Creed in �I m �iGt� Got�n , N.c
Materbody)
(ToK n and/or Counly)
lie has described to me as shown below, the development he is proposing at that location
acid, 1 Rave no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMEMV—
('To be filled in by individual pmpoying development)
r
n'l o , 0-, SC-iCk b%l3 i
Signature
Print or Type Name n
Telephone Number
Date: n d0
-29-

ADJACENT RIVARIAN PROPERTY OWNER STATEMENT
I hxrcby certify that I own property adjacent to �hn
(Name of Property Owner)
Property located at Iye_ - -
(Lot, Block, Road, etc.)
Oil t, W is Creb,, in "P(aLy I1cu Goan -F , N.0
(Waterbody) (To"n and/or County)
lie has described to me as shown below, the development he is proposing at that location
and, I have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMEn2_
(To be filled in by individual' p110posing development) , � L"�L
L� 0,
- Z
n dill��
c ,nct,��( cicrcL,i Remo�te, Scnats t1d
Signature
Print or Type Name
Telephone Number
Date: a5 2^ tft
-29-

ADJACENT RIPARIAN PROPERTY OWNER STA'TEMr�N�'
1 hereby cer!ify that 1 own property adjacent to Qhn tail) ( 5
(Hume of Property Oweer)
property located at _rl��
/�
�/ (Lot, Block, Road, etc.)
on Wsoc)S_ Cre(JX) in `PCaml1CA Gown , N.0
(Waterbody) (Tu A n and/or County)
lie has described to me as shown below, the development he is proposing at that location
w)d, I have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVEILOPMENkZ
(To he filled in bY individual p,bposing development; , P
v
r
f L-
I .11
L) 56
WICX } he, C to( -VW Re.nlo,16 SCtnGADUiace
k�
Signature
Print or Type Name
"Telephone Number
STATE OF FLORIDA Date; �' � 41
COUNTY OF DUVAL
-25_
Before me personally appeared Eleanor K. Cutler to me well known and
known to be the person described in and who executed the foregoing
instrument for the purpose described therein,
,I,GGE2,
eN01
OF r4PATRICIAM. NOVIARD
'o My Comm Fxp. 6/10/2003 NOTARY PUBLIC= No. CC 845026
Personally Known I I Other I D