14856_HUBEL, KEN_19951123

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Applicant Name _
Address
CAMA ACID DREDGE AND FILL
GENERAL
' 14856
PERMIT �. � � �-.� _•, � .� __ r �� 3
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resou ces Commission
in an area of environmental concern pursuant to 15A NCAC h
Phone Number
City"' State zip y
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Project Location (County, State Road, Water Body, etc.)
Type of Project Activity c.l
PROJECT•
Pier ..
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Bulkhead length
Basin, channel dimensions
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Boat rampdimensions
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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 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.
'ram'
applicant's signature
f i permit officer's signature
f�- �4 y Z - :4- —r)4— `l /
issuing date expiration date
attachments /✓ / /_ J ' f / /
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
application fee

CHADWICK CONSTRUCTION CO. 66-112/53i
-- LIC.2294663 LIC.2916140 -
PH. 919-728-4504 5110093626 1914
RT. 2, 327 STEAMSHIP LN.
PAY TO THE
NEWPORT, NC 28570 DATE S `
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ORDER OF 1J/
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K' �o, tijBjlT DOLLARS 8
MOREN EqDN�NCN'1gNNIN6 AN TNU*TCOM►qNV
CITY, NORTN CgRO LINq 28557
MEMO J5F
':053 LO i i 21t:51 100935 261I' i914NP

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
is property located at
(Name of Property Owner)
l 7
(Lot, Block, Road, etc.)
on in N.C.
(Waterbody)
(Town and or County)
Ile shown pawn below, the development he is
pv has at that tlocatIon,and, I have no objections to his
proposinngg
proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
Signature /7
Print or Type Name
_/ Y/y y7& /
Telephone Number

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