11876_SOUSA, ALWIN_19930624

0 CAMA AND DREDGE AND FILL
GENERAL
PERMIT
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 15 NCAC
Applicant Name - Phone Number
Address
City State Zip s
Project Location (County, State Road, Water Body, etc.) 7
Type of Project Activity
PROJECT DESCRIPTION SKETCH
-i
Pier (dock) length
t
Groin length s i
EE
number r,~
Bulkhead length —��%
a 7- i '
46
max. distance offshore ¢ j
-- — - — - 1—r— —
_ I — +
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i--I-�-- I J- -�- _
Basin, channel dimensions
cubic yards" ' +—
i
Boat ramp dimensions
Other --•�-- J i I � 4 ,.�__.> ; I r
I - j- — G
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's signature
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 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. attachments
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
PH. 919-636-2515
POST OFFICE BOX 3482
NEW BERN, NORTH CAROLINA 28564-3482
PAY
WACHOVIA BANK
OF NORTH CAROLINA, N.A.
NEW BERN, NO 28560-1677
66-763/531
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MAr`ilii c �urc I. ow � CJ �uuJ J..I I,,� I..,,'I "lu'l I,ti„ i L,
5690
DATE 6 —17 — 9 3 AMOUNI$ 5 0. 0 0
TO THE
ORDER DENHR
OF: W SI N TURES REQUIRED
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11,00005690118 1:053107E331: 580E 00090711'

r •,tee' � � � .. .•. .
�D ACENT RIPARZhN PRO PERTY'OWNER`STATEMEi�T
(FOR A PXRR)
I hereby certify that•1 own property adjacent to
J . � /1
4 ��rr �J �4 's property
• Name -
located at _ 1,J-7-1Y6; Cis S'jgc- 47on
(Lot, Block, Road, etc.) .
• /Vd tz�1 t c9 a I 'll in IJ / zirl C,MU FJ , 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
r
proposal. I understand that a pier must be set back a tninimum'
distance of fifteen feet (15') from my area of riparian access
unless waived by me.
V 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 DE
FILLED IN BY INDIVIDUAL PROPOSING DEVELOPMENT)
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.Signature
Name
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Phone Number

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ADJACENT RIPARIAN PROPERTY OWNER' STATEMENT
(FOR A PIHR) .
I{]hereby certify that -I owri property adjacent 'to
f� d � w +t �rr v J .r4 is property
Name
located at _ —��� — S G on
. -� (Lot, Block, Road, etc.)
M/b;eI �1yi tf 1 C' 14, in /il , icy 1316fl-C,�r�y rim , 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 rninimum
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)
Phone Number

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