11973_WILLIAM, JOEL_20130624

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CAMA AND DREDGE AND FILL
GENERAL
PERMIT ri
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
Address
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
State
Phone Number
Zip
PROJECT DESCRIPTION
Pier (dock) length
SKETCH
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Groin length
number
Bulkhead length
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max. distance offshore
Basin, channel dimensions
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cubic yards
Boat ramp dimensions
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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. 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.
applicant's signature
permit officer's signature
issuing date expiration date

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ADJACENT RIPARIAN PROPERTY OWNER• STATEMERT , r_
(FOR A PIRR)
I hereby certify that -I own' property adjacent 'to
�OEL %� L,�.�''Am's property
Name
located at �0� ,�s¢le d %T on
(Lot, Block, Road, etc.)
in _- F iq /76ey 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.
I do wish to waive that setback requirement.
Description and/or drawing of proposed development: (To BE
FILLED IN BY INDIVIDUAL PROPOSING DEVELOPMENT)
. Si ature
Name
Phone Number

i%DJACENT RIPARIAN PROPERTY OWNER•STATEMEft ..
(FORA PIER)
I hereby certify that •I own property adjacent -to
Ek (� r�.,�.�`�3/N 's property
Name
located at s;®_ ,Zak �B ti I , on
(Lot, Block, Road, etc.)
XJk_ain - %/,�J FiP.C7 C�.P-4o i 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.
I do wish to waive that setback requirement.
Description and/or drawing of proposed development: (TO 13E
FILLED IN BY INDIVIDUAL PROPOSING DEVELOPMENT)
Sign u e
Name
Phone Number

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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
�t$Aii1hE U;41, utu C.7 nn 6 . ,.'„ gw ,11 10 ,
DATE 6-17-93
TO THE
ORDER
OF: DENHR
1160000569 012 1:053 10?6331: 5806 00090?1I'
5691
AMOUNT $ 50. 00
TURES REQUIRED

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