18793_BARTHOLET, WILLIAM M_19970819

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CAMA AND DREDGE AND FILL
GENERAL C Ns 018793--e.
PERM I T ri 1,
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 Phone Number
Atlrlrecc
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION I SKETCH
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
State
Zip
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drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine, ^,
applicant's signature
imprisonment or civil action; and may cause the permit to be- r e
come null and void.
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This permit must be on the project site and accessible to the permit officer's signature
permit officer when the project is inspected for compliance. /; {
The applicant certifies by signing this permit that 1) this pro- r % s
ject is consistent with the local land use plan and all local issuing date expiration date 1
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no �� �,��
objections to the proposed work. attachments 1
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee
Management Program.

FOLEY & FOLEY CONTRACTORS, INC.
PH. [phone]
POST OFFICE BOX 3482
NEW BERN, NORTH CAROLINA 28564-3482
WACHOVIA BANK 9355
OF NORTH CAROLINA, N.A.
NEW BERN, NORTH CAROLINA 28564
66-152/531
7-18-97
PAY TO THE D.E.H.N•R. $ 50.00
ORDER OF
F�-----------------Ej
---------------00/100 DOLLARS
y.L1.—lam Security features
i included.
Details on back.
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MEMO
Bartholet Job 00 019 N3- C
no0093551P 1:053 LO 1,5 291: 5806 000907110

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to (-0J4"Ah( H. 191VD Cfl%ZOLy/� L,
's property located at Lc�rt" II o!= /-7' �DRIu£
ot, block, road, etc.
on /I%OSE RIOE-2 in N T /9L 41--fLlCC7 C7 . N.C.
(body of water) (t and/or county)
The proposal has been described to me as shown below: the development, a
pier/ 41:'k�hh:ea / structure, and the proposed location, and I have no objections
(ci ccle a e)
to the proposal. I understand that if the development is a pier, it must be
set back a minimum distance of 15 feet from my area of riparian access unless
waived by me. idd do not wish to waive that setback requirement.
(-arcle one)
Description and/or drawing of proposed development: ( to be filled in by
individual proposing development.)
'1
(Original must be retained in the Inspection �;De
ipa tment)
'
0'�J'o r(
S'7ature
Name (Please Print)

9,-a7-16 11:56 P.2
ADJACENT RIPARIAN PROPER'ry OWNER STATEMENT
hereby certify that I own property adjacent to WILURII M. 4/Vb COJOLYA) L.
's property Located at LOT_!1 of A#/-10 L L�r'S N-eosf- A'eloF_
Tot, block, road, etc'.)
on AUSE RJUFf. in ORiEA17"WL /PgH1L1C0 CO. !�f .�_, N.C.
(body of water) (tcy4n and/or county)
The proposal has been described to me as shown below: the development, a
pier( bulkhead/ structure, and the proposed location, and 1 have no objections
(circle one)
to the proposal. I understand that if the development is a pier, it must be
set back a minimum distance cf 15 feet from my area of riparian access unless
waived by me. I do/ do not wish to waive that setback requirement,
(circle one)
!!*kkkJl****Irk*i*icir**�1*kAfcrt**A11*kfietiklr�t***kk�r*****k*sk,srs4ir*sty��lr�r�P�lr+k*1c*9r�lr*rY*,frl�k�kkat*+t9t
Description and/or drawing of proposed development: ( to be filled in by
individual proposing development.)
*k*k*,tic**,t*�Itit�kftrtYe*i�R�t#itj�k7t1kkt4tYkylilr�h*fc,t*R**�t�V'**�l'**kkrt�tic,t,t***�Fkk�4�k*�'Yt*�kic#iryFk*:4**tk
(Original must be retained in the Inspection Department)
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Signature
1-ij LLtAM�a�I,NT�`/
Name (Please Print)

J
197-07-16 11:56
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