26689_DAVIS, WILLIAM; RONNIE CHADWICK_20000906

LAMA and DREDGE AND FILL ,6689.- A
,.` 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
Address
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION ctrcrru
Pier (dock) Length
Groin Length
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
State
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.
Phone Number
zip
mrAt G• 1
applicant's signature
i
issuing date
permit officer's signature
expiration date
attachments
application fee

CHADWICK CONSTRUCTION CO. INC.
LIC 2294863 2916140 4790
PH. 252-726-4504 66-112/531
327 STEAMSHIP LN. Date 02302
NEWPORT, NC 28570
Pay to the
Order of U�— " $ } ��
UV--11LlJk�CC Sj �iC�� (ifL�� Dollars
BB&T
BRANCH BANKING AND TRUST COMPANY
MOREH4EM CITY, NORTH CAROLINA I / JJ��
ruo�l `a�CiC! ..-- � ,�
i:D 5 3 LO 1 L 2 11: 5 1 LDD9 36 261I' 4 790
>ClprMe Amerltpn

AUG-01-2000 TUE 10:57 AM NO DIV OF COASTAL MAT FAX N0, 2522473330
P. 02
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DIVISION OF COASTAL rvIANAGI✓MZ T
ADJACENT RIPARIAN PROPERTY OWNER NOTIPTCATION/WAIVER FORM
Name of Individual applying for Permit; I `~ �° �. u-=
Address of Prooerty: `' i-
(Lot or StrEzi, �, 5trxt or Road, City & Counry)
I hereby certify that I own property adjacent to the above referznced propeny. The individual
applying for this permit has described to me as shown on the attacht•,d drdwin; the development
they aft proposing, A description or drawing, with dimensions, should oe provided with this
letter•
I have no obiections to this proposal,
If you have objections to what is being proposed, please write the Dfvision
��� � Management, Hestmn Plan II 151-8, 1`Iw Qf Coastal O�
y, la, A10,-Rhead Ciro, ,A C, 28557 or call (252) 808-
3808 within 10 days of receipt of this notice_ No response is considered the same as no objection
if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, tnoorinff pilings, break xarer, boat house, IiR or sandbags must be
�. set back a minimum disrance of 15, from my area of riparian access un
,
Fish to waive the setback, you must initial the appropriate blank below )Harved by me. (If you
I do wish to waive the 15' setback reouirement.
I do not wish to waive the 15' setback requirement.
Siena ure ate
' � r
Print N ' e W.
- ajTelephone Number With Arc, Code
Gvc'+1.3rc1n d r.
W 'd Z£:Lo OOOE-20-90

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to ( � )I ) JhLL) i is
(Name of Property Owner)
property located at Orr f 1PR6;X �W62 I -
(Lot, Block, Road, etc.)
on r%/� ,_ �2 %0/I�,� , in C 07J �� , N.C.
(Waterbody) (Town and/or Count) '
He has described to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
------- ° � --- -- s- =- �-- ------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
SEP 0 5 2000
Signature
7
Print or Type Name
Telephone Number
Date: eh / /