27902_HUBBARD, SUE_20010417

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CAMA and DREDGE AND FILL 27902 ,
G E N E R A L
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 t ? Phone Number ' <Z 'q 3' i 46
Address
City State
Project Location (County, State Road, Water Body, etc.)
t
Type of Project Activity
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.
Zip S
applicant's signature
C
permit officer's signature
issuing date
expiration date
i
attachments
application fee

SUE HUBBARD 2629
NCDL 2269974
129 C STREET PH 252-393-2656 i 66 152/53i CC
6/NEWPORT, NC 28570 Date
Pay The c ,/ll 4 I G�
Orderr Of ��"
/I �C_ J z AG l e-6 "l ollars —k.
_ A��CHUVIA
Wa6ovla Bank. N.A.
Momhead City, NC 28157
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of 4
5:kin 291: 5463 107?I P-11- 26 29
ON RUND I

AUJAL>NXI' RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to /-/11 1� s
(Name of Property Owner)
Property located at /� <
(Lot, Block, Road, etc.) '
on 1
Orr; ,in CAA /c ,e- T 7
C'���.� �i , N.C.
(Wa erbodyj (Town and/or County)11
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 AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development) 1j
L-
u s'
Signature
Print or Type Name
_5-12 .2 �, 22 !�
Telephone Number
Bate: ,j'- J'

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ADJACENT RIPARIAN PROPERTX OWNER STATEMENT
I hereby certify that 1 own property adjacent to Sa C ��� a is
(Name of Property Owner)
Property Iocated at / a � C. S f, 41 r -/
(Lot, Block, Road, etc.) I
on S� l� S'/ D r r -S. in if el r - I-r 74 ( p u 7(4 N.C.
(W terbody) (Town andlor County)
He has descnbed 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 DEVELOPMENT
(To be filled in by individual proposing development)
I
0
V w '120 f/
TTaC-k S�1,Uc1,s
Print or Type Name
Telephonc Number
Date. L9
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