28142_GOWER, JERRY_20010628

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CAMA and DREDGE AND FILL
G E N E R A L 29 I
lr; i y
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 0 a lnWt Phone Number
Address , N t
City
State hJ zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity T \ t 4iAlft tt L ` j r, i ,�x r,. t ,? ,�• t t tr "
7C:):CI l 1 1,f.41 A Z 12
PROJECT DESCRIPTION SKETCH rr > ; , ; ;, J
(SCALE:
N`: - i-
)
Pier (dock) Length l :7 . i ^ Y, U i F, >!.,, _..,
Groin Length y
number
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....,. ....,.,g
Bulkhead Length (' 1, .
x'
max. distance offshore j t. i
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Basin, channel dimensions^
cubic yards
4
Boat ramp dimensions
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Tmm.
Other
44
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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.
e� applicant's signature
permit officer's signature
issuing date
expiration date
attachments
application fee
3

JERRY GOWER CONSTRUCTION CO, INC. 712$
PH 365-9767
7324 SIEMENS RD - O/ ss 30/531
/ WENDELL, NC 27591 Date ( B09
Pay to the ,(//� �/y I $ lX
Order of /// ��• C.� P52
n '
,/�/,{ZA4. s / ' Dollars
I
FIRST CITIZENS BBB
$ANK K 1 . o,N C. 2 545ust
For
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I: 5 3 L00 3001:0080 90000 3 3 L,"o 0 7 L
GUARDIAWSAFET BLUE ESBL
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06,'05%2001 08:40 FAX [phone]
06/05!2001 09:45 1 919-736-7558
GRTIPIrr 4C:(5q " C4WP"$0W61L
JOANN GOWER Z itl
WORTHINGTON CORP `AGE 01
CF—'WkAL. rfrttMrr OFFICE OP
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ADJACENT RIPARIAN PR
X hereby ce mfy that pmperri adjamig tm:
STATEMENT
property Located at mar (water
body) --:T-: L in (county) -
The applicant de-tcribed to Tna as shQvon below, the devexopt<uat he/she i9 proposing m that bc"n and,
I have oo ohj"ow to this proposal _
1 do have objettsoa.9 to this propoW
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CARTERET COUNTY COURTHOUSE
CENTRAL PERMIT OFFICE OF
COURTHOUSE SQUARE
BEAUFORT, N. C. 2851 6-1898
728-8545
BUILDINGS. MOBILE HOMES. ELECTRICAL. PLUMBING. MECHANICAL
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to:
property located at:
near (water
body) � in (county)
The applicant described to me as shown below, the development he/she is proposing in that location and:
I have no objections to this proposal
I do have objections to this proposal
Description and drawing of proposed development including propeM lines setbacks from each line
size of proposed construction location of water and anv other structures on property
Signature
Name:
Phone Nu
Date: Z

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