11971_STEPHENSON, JOHN_19930624

O
CAMA AND DREDGE AND FILL
GENERAL
PP? BAIT
C C4
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal sources Commission
in an area of environmental concern pursuant to 15 NCAC
Applicant Name
Address �
City
Project Location (County, State Road, Water Body, etc..)
Type of Project Activity %
PROJECT DESCRIPTION
SKETCH-
Pier (dock) length
Groin length.
number
Bulkhead length
—�
max. distance offshore
Basin, channel dimensions
cubic yards
i
Boat ramp dimensions
i
—i-
Other
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State
"r$
Phone Number
Zip
(SCALE:
v.
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This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any i-
violation of these terms may subject the permittee to a fine,
imprisonment or civil action; and may cause the permit to be- applicant's signature
come null and void. ft
This permit must be on the projrr�sii ee and accessible to the permit officer's signature
permit officer when the project is inspected for compliance. / h
The applicant certifies by signing this permit that 1) this pro-
ject is consistent with the local land use plan and all local issuing date expiration date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no �/��
objections to the proposed work. attachment
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
PRIMARY CHECKING
P H . 919-636-2515
POST OFFICE BOX 3482
NEW BERN, NORTH CAROLINA 28564-3482
WACHOVIA BANK
OF NORTH CAROLINA. N.A.
NEW BERN, NC 28560-1677
66-763/531
PAY _
(udill
u� uu,) ,,n„ r.. •�.
,HI
TO THE
ORDER
OF:
DENHR
GPc•119r71
II■0000559 2110 1:053 L07633�:
DATE 6-17-93
5692
AMOUNT $ 5 0, 0 0
eTW NATURES REQUIRED
580 6 000 90 711'

ADJACENT RIPARXAN PROPERTY OWNER STATEMENT
II hereby
�certify that I own property adjacent to
cD 's property located at
( Name of.. P. operty. owner )
c (Lot, Block, Road, etc.)
on��i Cn lc in NEJ C cJ N.C.
(Wate y) (Town and/or County)
He has -described to as shown below, the development he is
proposing at that location, and, I have no objections to.his
proposal.
-------------------------------------- --------------------------
DESCRIPTION AND/OR'DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
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le-

AWACENT RIPAM-1; PROPERTY OWNER STATEiMEt T
WOR A I'r. ER) —
Y hereby certify that -1 own property adjauprnt •to
property
Name
located at: I q EjEc 2 F A• C.O 1?4 L On �, 2/ _, on
(Lot, Block,/ Road, etc.)
C.Izr:.k k— Av in Fu) 13F-A�D, u F'3 , N. C.
(Water I�ody) (Town andEor 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. Oc,,-,Jc
I do wish to waive that setback requirement. Cu U<A,,2�41
Description and/or drawing of proposed development: ('1�0 BE
FILLED IN BY INDIVIDUAL PROPOSING DEVELOPMENT)
Nle 7 -) — z 7,
Phone Number

FOLEY_&
MARINE CONTRACTORS, INC.
1902-A Highway 70 East • New Bern, North Carolina 28560 • [phone]

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