18627_AVERY, LES_19980408

CAMA AND DREDGE AND FILL
GENERAL
P18627 - C
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Commissior
in an area of environmental concern pursuant to 15A NCAC
Applicant Name 1 ' �r_t Phone Number
Address
City �� r� °' n �' State Zip
Project Location (County, State Road, Water Body, etc.)
TvnP of Project Activity ILA ✓Gx r`i �n Y I �L.
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PROJECT DESCRIPTION SKETCH
Pier (dock) length
Groin length
number
Bulkhead length,
Lam... i/�f r'�!'""•i O"•
-7 ry
max. distance offshore
Basin, channel.dimensivns_
cubic yards
Boat ramp dimensions
Other
J
This permit is subject to compliance with this application, sits''
drawing and attached general and specific conditions. And.
'
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.
L/
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.
(SCALE: �� )
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ature
` permit otticer's signature
issuing date expiration date

I hereby eettify that I own property adjacent to
�� 's property located at
Clot, Block, Road, etc.)
on n; -vski k'w r%. , in �;r�Y�,3 C' Bcafi�.� ,IBC
(Waterbody) (Town andlor County)
lie has described to me, 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 DEVT,OPME-NT:
(To be filled in by individual proposing development)
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Signature
Print or Type Name
Telephone Number
D A Ta

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
k F S 4� V 's property located at
(Name of Owner)
— AI ELfrK ?",, r, 4 ,
(Lot, Block, Road, etc.)
on i=vs n 12, LJ at- , in A) i3A &,3. O a du r-,J , NC
(Waterbody) (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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
P 16UI
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Signature
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Print or Type Name
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Telephone Number
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17 a� 1 �

1666
FOLEY & FOLEY CONTRACTORS, INC.
1810 OLD AIRPORT RD. PH. 252-636-2515
P.O. BOX 3482
NEW BERN, N.C. 28564 66-1185/531
DATE
PAY
TO THE Q�
ORDER OF L F. / y L ' $ sd
SK�� QO '
J�o hS LKSya DOLLARS fflt=
,ATRIANGLE
A X BANK Hwy.New 0�m
� New Bern, NC 560
FOR 0 /
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11'0000 L66137 1:0 5 3 L 118 5 21:09 3 1000 L60111
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