11984_POHLUM, DOUG_19930624

0 CAMA AND DREDGE AND FILL
GENERAL'
PERMIT
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as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources d t e Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC�/ /' ' % ; ✓5�
Applicant N me / '� " Phone Number —
Address Address �'� V Al c,,�,
City '�� State Zip
Project Location (County, State Road, Water Body, etc.) ° ' ���/,—i
j'
Type of Project Acdvjty
PROJECT DESCRIPTION SKETCH (SCALE:
Pier (dock) length
Groin length
_
number '
Bulkhead length �--}} I ([ c_ �` i
max. distance offshore
Basin, channel dimensions
pbic yards
Boat ramp dimensions
Other
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.
/ ) A'
applicant's signature
! permit officer's signature
issuing date
attachments
expiration date
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee
Management Program.

FOLEY & FOLEY MARINE CONTRACTORS, INC. WACHOVIA BANK
PRIMARY CHECKING OF NORTH CAROLINA, N.A.
PH. 919-636-2515 NEW BERN, NC 28560-1677
POST OFFICE BOX 3482 66-763/531
NEW BERN, NORTH CAROLINA 28564-3482
PAY
TO THE
ORDER
OF. DEHNR
G.P. FOR ROBBINS
Gpo.IIq 0 1110000573011,
�up, Jl.�lIo 1...i.1 (uWt) (lun,l
DATE 6-24-93
5730
AMOUNT $ 5 0. 0 0
0 SIGNATU REQUIRED
1:053 L076331: 5B06 000907113

ADJACENT RIPARIAN PROPERTY OWNER-STATEMEft
(FOR A PIER)
. f i
I hereby certify that •X own property ad j acent 'to
's property
Name
located at _ b ( C r9�� ' z q P, . D,. on
(Lot, Block, Road, etc.)
,,,R Cr—,,,_ �L , Nec.
(Water Body) (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 must be set back a minimum
distance of fifteen feet (151) from my area of riparian access
unless waived by me.
I do not wish to waive that setback requirement.
_ I do wish to waive that setback requirement.
Description and/or drawing of proposed development: (To BE
FILLED IN BY INDIVIDUAL PROPOSING DEVELOPMENT)
ignatu
Name
Phone Number

Do u y ?o G. UI� .r
ao 6P
,u
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71
ADJACENT RIPARIAN PROPERTY OWN. , ^-STATEMEft . -'
(FOR A PIER)
I hereby certify that -I owri property adjacent 'to
bo.o 's property
Name
located at _ �66 G 41") n J2 ,. 1�,�• on
(Lot, Block, Road, etc.)
• fi';Jrt QI'w� �✓r, ���
A.)4,< i n /_U EZ 13 E.41�, , N . C .
(Water Body) (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 must be set back a minimum
distance of fifteen feet (151) from my area of riparian access
unless waived by me.
I do not wish to waive that setback requirement.
x I do wish to waive that setback requirement.
Description and/or drawing of proposed development: (To BE
FILLED IN BY INDIVIDUAL PROPOSING DEVELOPMENT)
_ 3Ai9naZt1ureZ
Name
Phone Number

D6 (17 y ?o G UTAI r
ao ( &0qNN,:k 2�N
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