19906_BUCK, JOHN_19980615

CAMA AND DREDGE AND FILL
GENERAL 0�1
—Y P ins � c`! 1 g9 fly-- —'
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 15A NCAC
Applicant Name'�h" ice Phone Number '
Address
City State Zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION SKETCH (SCALE:7� )
Pier (dock) length
;f -L
Groin length
4.�tS— s'
number le 61s,
Bulkhead length
max. distance offshore Z �_
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other j )
T 45 61 '�~/� +-
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.
applicant's signature
permit officer's signature
_/ — 9L Q- Ir- js'
issuing date expiration date
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.

COASTAL MARINE CONTRACTORS, INC.
P.O. BOX 12729 PH. 919-638-6407
NEW BERN, NC 28560
PAY
TO THE
ORDER OF '
of Yrr r.
4474
/ O 66-112l531
DATE
DO
1 $ 5a
DOLLARS
375 TRYON PALACE DRIVE
�PE
�Q D W BERN, NC 8560 -- - - -�/ /J ------ ---- — FOR i� KC ll.--'`C %� OM%06—C ,Le��A^M
11'000044?Lill' 1:05310L1211:5110112698ii'

JUN 10 ' 96 13 . CC FP DES I GP fED COUERHGE 5.16 361 7S 5 TO 125224' +2602' P . 01 01
06/1dr'19°S f�F1:5/ 1-'�l'�-':C4:-ebb[ v:LLNu� rc�+i..i r �•� -,�
r
hygACENT RZ IAN PR RTY O R ST EKEFT
hereby Certify that I own property adjacent to Mr. -Joi Ai 3oc
property located at L07- /F .0VG,-AA1fCf :319C, 6I-
(lot, block, road, etc,
�r/��L,
on IY e Sf(A tree in (J
(body of water) (town)
North carolins in PA/Y7G/cQ_ county. The proposal has been described to
u ure, and the
ma as shown below; the development, a (circle one)
proposed location, and I have not objection to the proposal.. I under-
stand that if the development is a pier, it must be set back a minimum
distance of i5 feet from my area of riparian access unless waived by me.
I wish to waive that setback requirement.
(ci, cle o )
#'{�!'***iii***tt**YWR****�***tf i*#*itt*t##*#ff###*t*f►1t#*t�rYkt***#it�r�tA*RAtt*#*#
Description and/or drawing of proposed development: (to be filled in by
STRUCTURE ANNDaTHEiDgXSTANCEopment). INDICATE THE $IZF, AND BETWEEN BACK PROPEPTY LINE AND THEATION WATER. F THE
STRUCTURE
ni �4)611oti5 : Aease G J
*##R,k**!!*rr*,ter**###**r��r*#*A,►wx*##t*+R*ittew**t�*,k#*###i*#t*t#+r+►�r**�*�►t*#*
(Original must be retained in the Z` spect�.on D7pa�men )
0�Jecf/6'/5` /"'�P4SP 5•/�,v Qvo/ SAX �o.
/- 9/9--r77q9-.2663
/i4°X /'7z'4 S& /7717 / 4
JUN 13 190 13:11
ure
Date
Name (Please Print)
1 919 24S 2602 p�G�•a2

�Flck ��ey
9�l ��755
1
AP,IAQ�=_ RIgARIM rRQPERT)C OWNER STATUMENT
hereby Qortify that I own Property adjacent to 1)91,
property located at
(10t, block, road, etc
(body of water) (town)
Nart.h Carolina ill Y'91�410d County. The proposal has been described* to
one as shown below: the development, a er` u13�.he�a�tlstrucure, and the
(circle one)
proposed location, and I have not objectlor, to the proposal. I under-
stand that if the development is a, pier, iti must be set back a Zinimum
distance of 15 feet from my area, of riparian accoss unless Waived by me,
I db of wish to waive that setback requirement.
,(circle one)
De9criptiQn anti/sir drawing of proposed development: (to be filled in by
individual proposing development). INDICATE THE SIZE AND LOCATION of THE
STRUCTME AND THE DISTANCE BE EN EACH PROPEXry LINE AND THE WATBR.
i
PieQ e L
(original, must be retained in the Inspection Department)
Sig Lure
Date�,.���
TOTAL P.©1