28860_RISTAINO, CARMINE_20011105

CAMA and DREDGE AND FILL
G E N E R A L prs0
PERMIT
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
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Applicant Name Phone Number
Address
City State Zip
Project Location (County, State Road, Water Body, etc.) 1 j Type of Project Activity j
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PROJECT DESCRIPTION SKETCH
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Pier (dock) Length {
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Groin Length %C
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Bulkhead Length t'
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max. distance offshore t
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Basin, channel 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
applicant's signature
may subject the permittee to a fine, imprisonment or civil action; and
may cause the permit to become null and void.ti...-
This permit must be on the project site and accessible to the permit of-
permit officer's signature
ficer when the project is inspected for compliance. The applicant certi-
; j s t 1 ! 2-
fies by signing this permit that 1) this project is consistent with the local
issuing date expiration date
land use plan and all local ordinances, and 2) a written statement has
been obtained from adjacent riparian landowners certifying that they
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have no objections to the proposed work.
attachments
In issuing this permit the State of North Carolina certifies that this project
q !; ` • t G / t/ 4 t 2 rZ .) T
is consistent with the North Carolina Coastal Management Program.
application fee

Il S r r n r i e y r n h n u r r d d-n r u m r n 1. S r r. _b n r k 61 r d r f n
COASTAL MARINE CONTRACTORS INC
PAY /, /
TO THE DE V
ORDER OF
6212
PH. 252-638-6407
PO BOX 12729 /� 66-l12/531
NEW BERN, NC 28561-2729 V / 01901
l%
DAfE -_ --- -
DOLLARS 8�
BB&T
BRANCH BANKING AND TRUST COMPANY �� V
NEW BERN, NORTH CAROLINA
,vtw,
FOR
0'00621211' 1:0531011211:5L10hL2698i1'

,
AJI)JACLNT RIPARL ,N PROPIMT'Y ON VN�R -S TAT - W%NT
(FOR A PJRR1AJ00RJIVG p;UNC41B0ATZTFTIBQ4TH0
USL;)
I hereby certify that I own property adjacent to l.1{1CIM4 R i
5 j � %Name df Property Owner)Property loc atsdat �cToN tlul SIB, I7d�{
on fYg24se- 1P I V �.1� ._,._.�in CAAVeLel
(Waterbody) (Tow .--- N.C.
n andlor Coaaty)
Be has descn'bed 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 pierfmoofing
PtItngslboadif /boathouse must be Setback a minimum distance of fifteen feet (15') from myarm of riparian aoeess unless waived by mc.
-=9MM==Q�—, I ao not wish to waive the setback requirement.
_ _ ._—Ae I lei wish to waive that setback requirement.
DESCRIP77ON A..'D/Olt Al2A«'LtiG OF PROPOSED �
{To be pL`�LOP,%M%.T'-
filled in by inditidua! proposing development)
o'41
S'rgD o cap
nature
. -- ar
Print or Typc 1�Iame
'q(;�--1� V-0 -Sa;L-I 9
Telephone Number
4f(),--qII- Sy o
'd CSE 'ON Mvd NOSI1ld 03 odd WdS� E (00Z 'Ll i)0

UNITED STATES POSTAL SERVICE
First -Class Mail
Postage & Fees Paid
LISPS ,
Permit No. G-10
OS ender: Please print your name, address, and ZIP+4 in this box •
1b �jAS'�R Vl / 1
�6-s-1 o
IS IS ItII!IIIIIIIIIiIIIIIII!!IIIIIIIIIIIIiII111111IIIItI111111!II!I
■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
P ,ve, to l� ✓'� x
2. Article Number (CoDv from
B. Date of Delivery
101-2 �'_e�
C. ig r
❑ Agent
❑ Addressee
D. IAE elivery address different�fro item 1? El Yes
dd YE$, enter delivery ar/yes below: ❑ No
3. Serd ype
Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail Cl C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
PS Form 3811, July 1999 Domestic Return Receipt 102595-00-M-0952
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