27014_ADAMS, LARRY_20001115

CAMA and DREDGE AND FILL Your project is subject to the NC Division
G E N E R A L of Water Quality Neuse River Buffer Rule, ff
due to its location within the Neuse Basin
Please contact Deborah Sawyer at
P E R M I T 252-946-6481. 1 L� t`
as authorized by the State of North Carolina ti4 i I
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
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity -7
State
and attached general and specitic conaitions. Any vioiauon or inese terrns
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
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.
zip
applicant's signature
permit officer's signature
r j , ®1
issuing date expiration date
attachments
application fee

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PAY
TO THE
ORDER
'�. _"„"��'oo�"-c�n 5 e c u i 1 � lia n_,A d��e• �r 1. 5_� La c r
k
COASTAL MARINE CONTRACTORS INC
PH. 252-638-6407
PO BOX 12729
NEW BERN, NC 28561-2729
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Z;r-�
5810
DATE �(� /,S - Q 66-112/531
01901
I � ADD o0
.RANCH IANI(rNp AND TRUST COMVANt
NEW BERN, NORTH CAROLINA
FOR
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S8l0u l:0S3101121i:SllO11269811'

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGS/BOATLIFI'/BOATHOUSE)
I hereby certify that I own property adjacent to 4/
s
(IV e of Property Owner)
Property located at
(Lot, Block, Road, etc.) '
on z c�ll� in /
N.C.
aterbody) (Town and/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/mooring
pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
ndiv R STo E"ent)o
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nbAhs \
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Signature
,412xe- 4,Ye.
Print or Type Name
Telephone Number
Date; // 4/, I, �
_

NOU-14-2000 04:57 FROM:NBORTHO 2526382109 T0:9102014185 P.002,002
AWACEfff AILLW fRoMrn OVVZM STA
FOR A PIWMOORING pjLV C,M0A7y FTjj0ATH0US8)
r hereby certify that I own property adjaceoi to ,$
Foperty located at rb IL%v► w 1 of 0�)
(Late Block, Roado aft.)
on in
� aterbody) (Tows andlor Cpun�►) N.C.
Ere has descslbed to me, as shown below, the de
no d �
I° °n' and,lboa nu objections to his ,proPosal, I taois �°P° 8 at that
l�o _ must be set back a minimum distance of
°f access UW s waived by me. feet {1S') from my armg
-- I 5129—at wish to waive the setback requimmcnt
r dQ wish to waive that setback regWrcateut.
V c��io�a^e jiw in NjAdh7*al'P
o 40 4�0
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Signature
V
Nnt or Type Name
638-3-4t 60 43Q-8'tt3
TcAPflm Number
Date: