24808_FULD, ANNETTE BURGESS_20000228

CAMA and DREDGE
G E N E
PERM
as authorized by the State o
Department of Environmen
in an area of environmental
t
AND FILL G�)
I T
f North Carolina
and Natural Resources and the Coastal Resources Commission
concern pursuant to 15 NCAC
A licant Name Phone Number
pp
Address
City State
Project Location (County, State Road, Water Body, etc.) <
Type of Project Activity
PROJECT DESCRIPTION
Pier (dock) Length
Groin Length
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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
applicant's signature
permit officer's signature
issuing date expiration date
i
attachments
application fee

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CHADWICK CONSTRUCTION CO. INC. 66-112/531
LIC. 2294863 2916140 5110093626 4327
PH. 252-728-4504
327 STEAMSHIP LN. DATE
NEWPORT, NC 28570
PAY TO THE
ORDER OF $
r. VJ Nam/
DOLLARS
>� 02302
2905 BRIDGES STAR I' AND T S"T, COMPANREETY
MOIRJJEHEA/�lD CITY NC 28557
,,
l:05310LL2Ll:5LL009362Gul 4327

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to eA( 's
(Name f Pro 'erty Owner)
property located at / D 6
(Lot, Block, Road, etc.)
on q- in Cy-,J Ue , N.C.
(Wit rbody) (Town and/or County
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)
/ d 'sY. Ar"., ^^,p
Print or Type Name
Telephone Number
Date: e• r 13

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to 1 &-,
(Name of Properiy Owner)
12
property located at
(Lot, Block, Road, etc.)
ori,4/wi/,s � X- �'�'r. , in 1: N.C. ,
(Waterbody) (To and/or County)
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)
I
Signature
�� � t,.\ ��-1
Print or Type Name
Telephone Number
Date: