12152_BLACKENBY, J.A._19940224

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CAMA AND DREDGE AND FILL
GENERAL
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PERM I T
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
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Applicant Name c.
A )' % , Phone Number
Address
City --4/1-1 19 State zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity % !r
PROJECT DESCRIPTION SKETCH (SCALE: �� )
Pier (dock) length
Groin length
number
Bulkhead length
ax. distance offshore f
I n
Basin, channel dimensions
cubic yards f4 j s i v I
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.
applicant certifies by signing this permit that 1) this pro-
ffs consistent with the local land use plan and all local
inances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
objections to the proposed work.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
applicant's signature
LAj
permit officer's signature
,Z - ) i/ - I ", - ,-; t / - 5 //
issuing date expiration date
attachments
[�
application fe�)�T—

FOLEY & FOLEY MARINE CONTRACTORS, INC. WACHOVIA BANK
PRIMARY CHECKING OF NORTH CAAOLINA, N.A.
POST OFFFICEILE BOX
3482
PH. NEW BERN, NC 28560-1677
OX NEW BERN, NORTH CAROLINA 28564-3482 66-763-531
PAY
DATE
TO THE 02-25-94
ORDER
OF. DEHNR
G.P. Blackerby G
II500006 54 31s 1:0 5 3 10 76 5806 00090 711'
6543 I
AMOUNT
$ 50.00/100
TWO SIGNATURES REQUIRED
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r bJACBNT RIPARIANPItOkBRTy1'OWNRR'' GTAT$MRi�*I'
I hereby cQrtify that'•I owri property. adjacent-
�. property
• Name
located at - -on
(Lot, block, nb.ad, eta,)
V:lo in
VF
(Water body) (Town and/or County)
He has described to me as shown below -the he ie
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 ine.
. I do not wish to waive that setbac): requirement.
I do wish to waive that setbac): requirement.
Description and/or drawing of proposed development: (Tp BD
FILLED IN BY INDIVIDUAL PROPOSING DMLOPHENT)
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d- D
.Signature
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phone Number
Date
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f�bJACENT iRIPARIANJPROPEitTY
( jlR'A VXRR)
I hereby certify that •Y own property adjacont--to
,17 N.. J3 R property ;
• Name -
located at Ts 1-5 q�wo4Jt _ 'on,
(Lot, Block, Road, etc.) -_
V � Fiti. in &F1431���� I/V C♦ �?8�1 N.C.
(Water Body) (Town and/or County)
He has described to me as shown below the development he 1s
proposing at that location and I have no objections to his
r
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 vaive that setback requirement.
Description and/or drawing of proposed development: (TO 13H
FILLED IN BY INDIVIDUAL PROPOSING DEVELOPMENT)
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Signatdre
Name
Phone Number
Date
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