28993_HAGGERTY, RICHARD_20011105

CAMA and DREDGE AND FILL C '
G E N E R A L
P E R M I T� r
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 Phone Number
Address
City State Zip
Project Location (County, State Road, Water Body, etc.)
5
Type of Project Activity
PROJECT DESCRIPTION SKETCH (SCALE: )
Pier (dock) Length t
g rajj„ i
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. An violation of these terms
g P Y
- applicant's signature
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
issuing date expiration date
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.
attachments
In issuing this permit the State of North Carolina certifies that this project
is consistent with the North Carolina Coastal Management Program.
application fee

BROAD CREEK CONST INC.
Ph [phone]
11 Creekview Court
Merritt, NC 28556
PAY TO
TI 1 E ORDER OF
-TA. �0VU
Wschovia Bank, N.A.
B-boro NC2-
7497
66-152/531
_ DAIL
FOR6�o7�c''� / j�7liii JI 4nitlz i, i 1
1.0531015294 0?8L 001240n' ?49? _

I hereby certify that I own property adjacent to,`����G�� 's
(Name of Property weer)
Property located at 4 v „i
Block, Road, etc.)
on , in 0M ,fie( , N.C.
(Waterbody) (Town and/or Countv)
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)
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S i Qnature
1�� (\A f1 R ('C_ C- Pa�Q (�' 0
4,0,-
Print or Type Name
y10 -6 9 3
Te�epnone Number
Date: 0LI Z(0 Zc�o

I hereby certify that I own property adjacent to -�-4
(Name of Property O er)
Property located at � UZL2 Y, 1)
(Lot, Block, Road, etc.)
on
in r �'eP , N.C.
'(Waterbody) (Town a aLmay)
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)
q/
Signature8�1
iv
Print or Type Name
Telephone Number
Date: /p L--,?z5 b %