19926_FULCHER, TODD_19980624

0
Applicant Name .
Address „ I /,
CAMA AND DREDGE AND FILL
GENERAL `o"' 019926 I''
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 ., i r a /`
7
l Cif C A �' � Phone Number � � � t, :? 7— ` r
City t" r�7 r 7 State Zip ��' Zi ��
Project Location (County, State Road, Water Body, etc.) r' 0,''^ Cr �'U.'%" ,
,`, i_ _�h� ��'; clef"iJ ' i>:� /z- - S —�„��.� � /r1---GUI r�.d•7 --t
Type of Project Activity 6' bl '
PROJECT DESCRIPTION
SKETCH /
(SCALE:
Pier (dock) length
r
Groin length
number
Bulkhead length
v
��` ���a -1
max. distance offshore
Basin, channel dimensions
­C
cubic yards
Boat ramp dimensions
Other
! �r
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.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
issuing date expiration date
attachments
application fee

1936
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 l
PAYTO THE
, 1
ORDER OF ► J . .� - {V
II SO.OQ
t l t 1 0' { 1'3� ��yf� OLLARS 0�
I�TRIANGLHwyE 0ffi�
��� BANK New Bem, NC/2+85;60�� q \
FOR `� \\C' - >^ \ . -� \7'� lclo�(�Ar
1110000 19 36110 1:0 5 3 L L L8 5 21:09 3 L000 16011'
2

s
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSIBOA7LIFT/BOATHOUSE)
I hereby certify that I own property adjacent to __ --77)'rlrYl s
(Name of Property Owner)
property located at
(Lot, Block, Road, 6tc.)
on t , in
, N.C.
(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. I understand that a pier/mooring
pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
I do not wish to waive the setback requirement.
I d4 wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
VP
�a
4�
igna�a e
Print or Type Name
Telephone Number
Date: .�o

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR IERIMOORING PILINGSIBOA7LIFF/BOA771OUSE)
I hereby certify that I own property adjacent to _ -�jdW ,��/ _ pr' 9s
(Name of Property Owner)
property located at
(Lot, Block, Road, itc.)
on f�; , in Cam? E'r l rcl/�,�� , N.C.
(Waterbody) (Town and/ r 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/mooring
pilings/boattift/boathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
I do not wish to waive the setback requirement.
I ,JQ wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT;
(To be filled in by individual proposing development)
�gnature
Print or Type Name
Telephone Number
Date: