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O
CAMA AND DREDGE AND FILL L�
GENERAL
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC
Applicant Name '" '�!�'�'� Phone Number
Address i :' Z t� •) Ny'Jcs s*� 1T.�.
City ° ell A0 State Zip
Project Location (County, State Road, Water Body, etc.)
i
Type of Project Activity % e
PROJECT DESCRIPTION
SKETCH (SCALE:
Pier(dock)length
Groin length-
•
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
r ` ~ — r _. _ --
Jo
Boat ramp dimensions
1q,r' t '
Other
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any x �� /-
�'f
violation of these terms may subject the permittee to a fine,
applicant's signature
imprisonment or civil action; and may cause the permit to be-
come null and void.
This permit must be on the project site and accessible to the
permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that 1) this pro-
ject 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.
permit officer's signature
�1_ ?I/- I/C '* /7-Ze/ �1'.
issuing date expiration date
attachments U /& //G,,
application fee /✓�k ! 1�'
BROAD CREEK CONSTRUCTION INC. 6195 1806
112 Creekview St Ph 919-249-0523 66-30/531
Merritt, NC 28556
>��---------- ------ -- —- — -- oomas ,n, Lack
iBANK
CITIZENS „r
imsl Compony
Bayboro, NC 28515
I:0 5 3 L00 3001:4 7 1 10 2 26 741i' L8 6
O HARI NU nlGNFT
2-0G-1 171s=,5 ? 03 P-1 r=�:::CM
08/14/1936 ;3;1G 919 �9 930
SGIL/L07T REACY
RGE 0
ccrtify that I x Pmrty adlamt to
M�N,rty located at--Lo-r 'J65 PL&)TA`i1Q�.
Uot, block, road, etc.
-- iaCdy of water)
}xth Carolilia int'amlico Count- �)
Y • peal has been de5cricribed to r�e is s1,; non tm ! ,
th_ (R ;C''012xnt, a tier 2X Structyre, and the propowe location, and I
tci , vrQa
'); • t j cr.s to the proposal. I understand that iUr the dcvt'lolxnc.mt is a pier, it, , • t
S�t, t,�ck a ri► nizntrn distancc of 15 toot from my area of riptirlan access un:c — a.., i \ ..
r ' • , (#cry not wish to w.'iVfl that: Sctback regjiravn1,.
rele o )
:.►F�FFaFa►�AfFfAtFAtfflftAAttfAlAlrtltRRFRIFIIAARRstftttiARAftftt NltRttftAftFAl����►,. ..•
and/or drawing oC proposed &welopment: (to be filled in by indiv:ctu:,;
,i'' ; ^.�C3o rnC�r,C.i IAtJIC11"1"E nE ME &v La0('ATr oF"E x 57iii7C'[IfitE AND
1:Atri3 : ROUAT! DINE: PM THE MTM.
LOT 54
'ADT EC.T
PPROx, q0 dr STaje
ZIP —OF By Lix"CAV Yo
fR07eC7- VPLA9A WA
Fkm ERosim,
Lor 55
L.o-f 54
5C149 CI CIO,
FWLEY
at*tAAf+rrtAtftAxxsxafsttaa*AAurssxxttsr*R�kAt*Rrrfs!
iginal must be rctainod in the :ncpertion Deparbyent)
Lease P int)V
08/14/1996 13:18 919249293e
SAIL/LOFT REALTY PAGE 02
PUG 14 '96 01:1-3PM
AUTACT" RIPARIAN PROPEt'i'Y OWMM SPATDS%st'
I herehy certify that I own property adjacent to 7±!m # Koi2LE�N FOE Le ''S
prop`�rty located at_ LOT_ ''SS ORIENTAL PLANTA71Q6J _
,Sm 1T}�- CR�E' (lot, block road etc. --
e� Il�ody of water) 12hQ I 091 Eq7 A L .�.,
( town) .�._.._...
:forth Carolina in Pamlico County. The proposal has been dascril*d to me as s1:m✓rs lx l .q
a Pier 1khen structure, and the proposed location, and I ti.Ovo ► o
(cir a ona)
to the proposal. I understand that if the d,evelopwnt is a pier,
'%� ,�: t_zck a min,jn%an distance of 1S fret frCM airy area of riparian access unlr:::
not wish t0 waive, than. setback r+gaircP*nt.
(c•irclo one)
e'�ll�Af iRRtAfif A*R+*f•t*lAARt1AA4@fA.RAlARRR/f RffRRRRf.f��.i1••R1RRtAR*RARtA R9tR1�s►l�f ...
its^r3t�ti,�,� and/or drawing of prgvaed (levelopment: (to be filled in by individii;,l
J3 vclorment.) It+11�ICle'i'E THE SIZE AiJ13 Y�OCATIUN OF 7'!lE 51'R(1C'RlttL AND
:'�•, �: lti;:c',:'II~N U01 M OPM1`Y LINT: AND 'I E whTFR.
III
'go xEcr-
PPROX, 90 ''IF 17We7
7I RRF�P BVLVHGAD Tb
fROTEcr QPLAND WA
FRarr a Qo s) oN
LCr 55
��Lr
Y
LOT S"4
S 04►2 EI E�R
..•...�r..*�r..,�i*Qi.r.�r•*�R►*..,..R..AA.*Asr►:�to�s.
tOriginal must be retained in LM Inspection Department)
LOT 'Sq
M' rvN-T A L PLArrr o , 0 C
t
_fR�N,4iei�w atft4
a* (Please Print)
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