11763_BURRAGE, TONY_19930212

AM ND DR DGE AND FILL
GENERAL ''T ` 1176
PERMIT 9(,01
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Re c s Commission
in an area of environmental concern pursuant to 15 NCAC
Applicant Name
Address
Citv .
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROTECT DESCRIPTION I SKETCH
Pier (dock) length
S
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 be-
come null and void.
This permit must be on the project site and accessible to the
permit officer when theproject 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.
State
attachments
application fee
Phone Number
issuing date
Zip
(SCALE:
applicant's signature
permit officer's signature
expiration date

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THOMAS DAY 0382
D/B/A THOMAS DAY & COMPANY
P.O. BOX 218 919-726-3108 r
ATLANTIC BEACH, NC 28512 66-152/531 ^
PAY — 19� 009
TO THE OR 0
ORDER OF
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S�J o CI
DOLLARS
Wachovia Bank of North Carolina, N.A.
Morehead City, NC 28557
FOR [, G'1_� p Cl 'I1 /
11'000 38 211' 1:0 5 3 10 15 291: 5460 10 ?8 1 21m
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P.c RIO 216 ik-o� Box 2"8
ATLMTIC GEACin, NC, MUM W ' B EA C. s,
111618) 726-.,;Iu (6.19j
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]"HOMAS DAY &
Plo. BOX 218
ATLANTIC BEACH, lfj;;
0 19) 726-3109
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