13862_BENT QUAY_19950110

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CAMA AND DREDGE AND FILL _(2<
GENERAL
PERMIT IV�' Cf, lqJ -7
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 ' Phone Number.
Address
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity r .�
State
Zip
PROJECT DESCRIPTION
Pier (dock) length
SKETCH tofi �7 S
(SCALE:
f_
tC
F.
f
Groin length:
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ZP
E
number
Bulkhead length
max. distance offshore
LtBasin,
channel dimensions
y:.
cubic yards
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POther �.�
e I , g
TU
Ar
/ y!
Boat ramp dimensions
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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.
attachments --'
applicant's signature
permit officer's signature
issuing date expiration date
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
application fee

MARK HARDEMANN ss-112
CONSTRUCTION ACCOUNT 531 1279
1897 JACK RABBIT LN. PH. 919.638-6407
NEW BERN, NC 28562 �' 2• iy �5
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BB&T
M�MGN..i,ww0 wN0 TRV�i C_
NE BERN. NORTH CAROUI 28D
': /3862-�
0531 1L211: 1�19L276011' 1279

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to ,41f- 66;d-� 61
property located at C 151�IiViJ'' -Dr-
lot, block, road, etc._
on in did 2�, L&4,6f i Lc� �S
body of water (town) le3c-�AJ
North Carolina in C ,fP XA) County. The proposal has been described to me
as shown below; the development,a. ier ulkhead structure, and the proposed
cir one
location, and I have no objections to the proposal. I understand that if the
development is a pier, it must be set back a minimum distance of 15 feet from
my area of riparian access unless waived by me. I do/do not wish to waive
(circle one)
that setback requirement.
Description and/or drawing of proposed development: Indicate the size and
location oC the structure and the distance between each property line and
the water. 90� LJe - ProP05,e- ,L6 q re /,,t - O �Ae
fu-)o eKrs�r,U LUIU<��5-
'��Uio-so
o, v
(original must be retaed.._i.n the inspections department)
i
(signature -,and date
name please print

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to /??vrf
' T
property located at
lot, block, road, etc.
on in
body of water town
North Carolina in County. The proposal has been described to me
as shown below; the development, a.pier ulkhead/structure, and the proposed
(irc-1 e one
location, and I have no objections to the proposal. I understand that if the
development is a pier, it must be set back a minimum distance of 15 feet from
my area of riparian access unless waived by me. I do do not wish to waive
(circle one)
that setback requirement.
Description and/or drawing of proposed development: Indicate the size and
location of the structure and the distance between each property line and
the water.
Qii/O
(original must be retained in the inspections department)
signature and date
name please print

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