23205_WILLIS, DANNY_19990817

CAMA AND DREDGE AND FILL cB1�
GENERAL M, 23295 —c—
PERM I T
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 L,41 '11 Phone Number
Address
City " rj State �i✓� C Zip
Project Location (County, State Road, Water Body, etc.)�r,
T pe of Pro,1'ect Activity
r, _.7-11(7
PROJECT DESCRIPTION SKETCH(SCALE: )
Pier (dock) length ;,� C ++✓,'a r:..- <• ?;*
Groin
number(
r
Bulkhead length
max. distance offshore
r. .
` .
Basin, channel dimensions
fcubic yards
,t .7 • t
Boat ramp dimensions f f`
Other
1 T \\
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.
applicant's signature
y: t
permit officer's signature
ssuing date
r ..
attachments
expiration date
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee
Management Program.

19
Fl-5 e c u r i t y_ r n h a n_A- d o_r v men t
BETH SULLIVAN REAL ESTATE, INC.
n PH.252-222-0423
P.O. BOX 1454
SOLD 4747 ARENDELL STREET
MOREHEAD CITY, NC 28557
PAY
TO THEA A
ORDER OF
I
2246
66-30/531
DATE �(�J—/._ 133
S .00
DOLLARS ffl==�
� K CITIZENS,-111IT
Atlantic Beech(N'C�28512 �
FOR — J—Le" z.—e—v�—W
II 00 2 24611 1:053 1003001:00131 21E961911

THE TOWN OF PINE KNOLL SHORES
100 Municipal Circle, Pine Knoll Shores, NC 28512
[phone] • Fax [phone] • E-mail: [e-mail]
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