21166_WILLIAMS, KENNETH_19990127

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CAMA AND DREDGE AND FILL
GENERAL M. 0211 - c <G��
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
Address
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
_ State
Phone Number ' '`"
Zip :'�4 7
PROJECT DESCRIPTION
Pier (dock) length
SKETCH
, . i
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f�
(SCALE:
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P, c ice; L •,r ;)
FBasin,
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)
)
Groin length
number
Bulkhead length
max. distance offshore
channel dimensions
cubic yards
Boat ramp dimensions
n" r It.vfA&Aid% Nva�
Imo."41.�(5.'cr1�
I�
Other
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any / 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's signature
permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that 1) this pro �� —j ��► CA
ject is consistent with the local land use plan and all local issuing date expiration date
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 No.
this project is consistent with the North Carolina Coastal application fee
Management Program.

FOLEY & FOLEY CONTRACTORS, INC.
2621
PH. 252-636-2515
1810 OLD AIRPORT RD.
P.O. BOX 3482
PAY
NEW BERN, NC 28564 n 66-1185/531
DATE_ � � /�
TO THE
ORDER OF —
JD, �V
'I nn , $ Ago oo
DOLLARS
,ATRIANGLE -
W BANK Hwy. 70 Office ,2.\ `tact —
�� New Bem, NC 28560 i�
FOR SiE 1? / 1�lP5 065bAVi JAB ln�tt L, �FAIS' IiA AD---
11'0000 26 2 L11' �:0 5 3 l l 18 5 2�:09 3 1000 16011'
— _.._ - �.. - - ,��<_,c®.calm:'.--_.1�_•.�_,.,dtm�.:.�n.>n:_--�^.Rm9v5IIdn: ...=7.;•_i�,-.m®.vm„tw,���,,m,�m»n,,,.vr�......:rns.,.:�..,,�..,.�

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
I hereby certify thatI own property adjacent to
F- y s T1 W'k ',A . _' s property
Name
located at
t, Block, Road, etc.
, on
a —&4-0 in /i 13r-e4 CeAisJ N.G.
(Water Body) (Town and/or County)
He has described to me as shown below the development he is
proparrhg at that location and I have no objections to his
proposal. I understand that a pier must be set back a minimum
distance of fifteen feet (151) from my area of riparian access
unless waived by me.
I do not wish to waive that setback requirement.
I do wish to waive that setback requirement.
Description and/or drawing of proposed development: (TO BE
FILLED IN BY INDIVIDUAL PROPOSING DEVELOPMENT)
,7— 0
uF,r., w,�.�•4,4
i at re
Name
Phone Number

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
I hereby certify that I own property adjacent to
6v .J ZiA bj: l L 44,:,x Is property
Name
located at o(LI 19 / izo, 11 Q , on
Lot, Block, Road, etc.)
U( & 1l;W.) 1 /2ka in A)F-,,j L?F-✓w G?6vF-� N.C.
(Water Body) (Town nd/or County)
He has described to me as shown below the development he is
proposing at that location and I have no objections to his
proposal. I understand that a pier must be set back a minimum
distance of fifteen feet (151) from my area of riparian access
unless waived by me.
I do not wish to waive that setback requirement.
I do wish to waive that setback requirement.,:
Description and/or drawing of proposed development: (TO BE
FILLED IN BY INDIVIDUAL PROPOSING DEVELOPMENT)
�y
fir' ���' • ° 1'N �x �.c i� .r 1 S �; �
�k1kA--r Signature
Name
Phone Number