27502_WALLACE, JERRY M_20010126

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10
CAMA and DREDGE AND FILL 27502
� G E N E R A L ;.
PERMIT F -
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.)
Type of Project Activity
PROJECT DESCRIPTION SKETCH (SCALE:
" .—
Pier (dock) Length _ TT
....... ?' {o _
... . ......
. .....
Groin Length i J, t
J.
A
number f
a
Bulkhead Length
max. distance offshore
1 N -
Basin, channel dimensions
(/ A _ 'y
cubic yards
Boat ramp dimensions -7 1-)
Other
v�
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 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.
> L -
issuing date
applicant's signature
permit officer's signature
expiration date
attachments
application fee

JERRY M. WALLACE
103 SEXTANT COURT
NEW BERN, NC 28562
1355
66-30/539
Date
CN
Pay to the
Order of

PERMIT ELEMENTS
1. Address for Submission:
Division of Coastal Management
Attn: Mr. Scott Jones
151-B Highway 24, Hestron Building
Morehead City, NC 28557
[phone]
2. Fee: $100
Checks Payable to NC DENR (North Carolina Department of Environment and Natural
Resources)
3. A marked -up copy of the plot of your slip or dock showing the limits of dredging you
propose and the depth of dredging desired. (Remember, the Town's dredging permit and
project is intended to take the project channel to —6 feet.) Also, the project must be
maintenance in nature and not involve areas that have not previously been dredged.
4. Application must enclose executed copies of the CAMA form "Adjacent Riparian
Property Owner Statement." Please note that the CAMA regulations require the applicant
provide (in the absence of executed forms) confirmation that adjacent property owners
have been notified of intended dredging by certified mail receipt. Section .1502 (a)(2) on
the enclosed CAMA regulations spells out the information that must be presented if
adjacent riparian property owners are notified by mail. If adjacent riparian land is a vacant
lot, Town Hall staff can assist you in obtaining the owner's address.
5. A CAMA field representative shall conduct a site visit and make the agency determination
on issuing a permit.
DREDGING PROJECT
I have read your letter dated July 13, 2000 and
❑Iam ❑ Iamnot
interested in the dredging project.
❑ I am ❑ I have not
submitted my CAMA permit request.
NAME
U
ADDRESS %Z i v t C E M
/Vea+ 3Ee4..J. /V C
Please mail this form to the Town Hall or deliver to the Town Clerk's office.

ADJACENT RIPARMN PROPERTY 0"TR STATE MT NT
(FORA PIERIMOORING PILINGS/BOATW-7110AxHOUSE)
I hereby certify that I own property adjacent to .Te=�e� �. Gt/4�e�i(`L'
(Narrie of Property O)yner)
Property located at l 3 f Lxi `'�'"�` C i,
(Lot, Block, Road, etc.) M
o n �G �-i'Ai r o �✓ �r�{ �v E C i n 2 t ✓c: �2 3 �✓�
(Waterbody) (Town and/or County)
I
, N.C.
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/mooning-
pibn-z/boatlift/boathouse must be set back a minimum distance of fifteen feet.(15') from my area
Of riparian access unless waived by me.
I sisLnot wish to waive the setback''requiremerrt.
I A-Q wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWRiG OF PROPOSED DE'VELOPIMENT:
(To be filled in by individual proposin- development)
.v /C"4 T'0 OW�9C//C:9 S Z4 wi
'nature
Print or Type Name
/oi SEx. +-ve,, .
z..sZ- (,pij- - Ij?
Telephone Number
Date: / - ( . °'

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ADJACENT R'ARIAN PROPERTY OWNIR STA E NT
(FOR A PIE, RJAfOORING PILINGSIBOATLIFT/I10ATHOUSF.)
I hereby certify that I own property adjacent to d/C7Z2� 8• 6M 6c 4 ee 's
(Name of Proper-iy Owner)
pmPcrty located at /02 If«'1-4A- �.
(Lot, }`dock, Road, etc.)
on a of v c L fin �i t2 13 C-Nd , N.C.
(Water -body) (Tovn and/or County)
Ile has describes] to me, as shown below, the development he is proposing at that location,
and, I have no objections to his proposal. I understz.nd that a pier/rnoonnt-
pilings/t}oatliftlboathouse must be set back a minimum distance of fifteen feet.(15') from my area
of ripanan access unless waived by me.
I du-uQt wish to waive tie setback requirement.
I si« wish to waive that setback requirement,
DESCRffI'ION AND/OR DRAWING OF PROPOSED DEVELMNIENT:
(z'o be filled in by individual proposing development)
Z 7-z
Ft
zE4
��nz:ure
7.0 oi/Z-z/ot
Print or Type Name
(' -',8 - 3c4 70
Telephone Number
Date: Z2 Zc�)n /