16357_CAMPBELL, DONALD_19960701

O
CAMA AND DREDGE AND FILL ; 016357-c'
GENERAL
PERMIT W
9/
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
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Applicant Name / /��' Address ``
V�/� �A lilt X r ._I! , d P
City Zp4r7
Project Location (C.ottnty, State Road, Water Body, etc.)
Type of Project Activity 7
PROJECT DESCRIPTION
Pier (dock) length /0 k'
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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d .3
SKETCH
Phone Number 9_— 43 2- (/ S_(/l
/J State AX J Zip �psrf >
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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.
fler- Ec4i� A
(SCALE: )
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(12414}
applicant's signature
permit officer's signature
issuing date —� expira_tion date
attachments 071/- 12d0
In issuing this permit the State of North Carolina certifies that
} this project is consistent with the North Carolina Coastal application fee
Management Program.

DANIEL J. FOLEY, JR.
66-112
531 707
NCDL 802651 PH. 633-3613
300 FORT RD.
5110123564
NEW BERN, NC 28560
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sw5 T MY0.w-nno—A—C'-DRIV
375 TRYON PALACE DRIVE
NEW BERN, NC 288(5/6�0�
St.
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IVP
�:0531LL20:5LLOL2358411'
0707

F1,''0' 0''1996 1E: _ 9196=15:=1' FOLEY AND FILET' INC PAGE 04
POBOX 776 YMILICO COUNTY BUILDING 1Na;VE{:7'IONS BAYBOR0, N.C;, 28515
[phone]
(After this form is completed by the landowner proposing the project,
a copy is given to his/her adjacent landowners for their consent and
signatures. The forms are then returned, along with a building plan
and Other applicable required information, to tte Building inspections'
Office for building pernizt. application/processing.)
ADJACENT RIPARIAN PROFERTY OWNER STATEMENT EPNIP
I hereby certify that I own property adjacent to
's on
Name oflandownerproposing development body of water
in/near! LU
Lot# of
community Subdivision, if applicable
Tax Parcel 0 � off SR-U..2j Complete description of how tc,
locate this property: O� RJ—AEL,411- S-R- 122-7 ~!40
The proposed project, a �D - and the location has been
described tq me as shown in the drawing below and I have no objections
to the pro¢asal.
FOR A PIER, CHECK ONE OF THE FOLLOW-ING:
wish to waive the 15, minimum setback from my riparian access.
1 DO NOT wish to waive the 15' minimum setback requirement.
RRRRR*RiR,r*RR#w#*#Rw*#,�R**RRRR*R*fAR�rRwRRxRIRti*,RRRRgRR##ws#R#lEt,�Rwrtf
Draw the proposed structure in the space provided below. List the size
of the structure and tfleasuted distances from the adjacent property
lines, other structures on the property, arnd the road, water, etc.
d 4{'? 4to L- F�4 u .
j 2od�
14

E11' F1''%1996 16: 37
919636312
FOLEY AND FOLEY INC
1R
PAMLICO COUNTY BU LDING I.NSVECIIUNS BAYBURO, N,C. 28515
[phone]
(After this form is completed by the landowner proposing the project,
a copy is given to his/her adjacent landowners for their consent and
signatures. The forras are then returned, along with a building plan
and oilier applicable required information, to t�e Building inspections,
Office for building permit application/processing,)
�/�/��✓ 1� Q / ADJACENT RunIAN FFOYERTf OWNER STATEMENT EPNO
AlaiZe�6c l �'`f�f t hereby certify that 1 own property adjacent to
' J 1 .0 ' B on IIJ 9-
rr��0,, Name of /landowner proposing d velopment body of water
,fk I in/near iiQ44-)' �:4tj A Lot#r of
�/ community Subdivision, if applicable
Tax parcel #f off SRI__Z3 Complete description of how U,
locate this property: 6 I2 L1 UKOOi.
The proposed project, a La-- d. _, and the location has been
described tj me as shown in the drawing below and I have no objections
to the proposal.
FOP,A FIER, CHECK ONE OF THE FOLLOWING:
i wish to waive the 15, minimum setback from my riparian access.
I DO NOT wish to waive the 15, minimum setback requirement.
4#►#!#*******fe######**fNd**#**##*�!#*#******!t*#!#***t,kfir*t#**kt�tt#*#Iralc
Draw the proposed structure in the space provided below. List the size
of the structure and measured distances from the adjacent property
lines, other structures on the property, and the road, water, etc.
r ....may
a 32