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CAMA AND DREDGE AND FILL
GENERAL ? 23198 --
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 15A NCAC
Applicant Name
A d ri rpcc
City
Project Location (County, State Road, Water Body, etc.) .
Type of Project Activity
JAI
Phone Number
PROJECT DESCRIPTION
SKETCH .i_- -i- _ j�',, (SCALE:__
)
Pier (dock) length
Groin length
rye q4 lyerN>; --
number,'
f cam• —� `;� �t1
Bulkhead length
�? �; ►- ; try r y �;1 tit? v +?3_4,.•
. ?. L__ 7ci, (,L 'tip i ., S! = i ('( ..K'!`
l�`,,. �` r' i !r 1 JN'j „C�� ! kl ; �;✓ ,
max. distance offshore
Basin, channel dimensions
''>; -�: "' ': i ' T Y1: • = L; { )
-' i t_-_ �' 1•tc : l � j 1.>p-X` �
, ,
,
1
cubic yards
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.
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
attachments
application fee
applicant's signature
permit officer's signature
expiration date
FOLEY & FOLEY CONTRACTORS, INC.
PH. 252-636-2515
1810 OLD AIRPORT RD.
P.O. BOX 3482
NEW BERN, NC 28564
PAY
TO THE
ORDER OF
DATE__!_- s --
•I�' ;,,�,. � Ally illh
f-�-+-#i-1-----y l
-- � I. ill It�l: I1i' ji-it MR� �IIPr .B'a� 171>"
I�TRIAN G LH�yE o�
RX BANK New Bem, NC 28560
FORUV✓1�1J
1100000 3 L 3 711' i:0 5 3 L L L8 5 21:0 9 3 L000 L 6011'
3137
66-1185/531
$ 1&n p0
-_DOLLARS
nr
HUI— b.1'4--492C 4,?HPh% UI=TPIP-11 Iull 5`r'SIEI`1S 110.767 P.
ra n a_
' .AWACINT RWARIA►N PRC1pMTY OWNF1k grA
(:FOR A PIF_RJM00MG PIUNGSISDA PT1,80ATHME)
I heTeby c ortify that 1 own property adjacent to , g a • /Z .s
(Nme of PMPirty Owner)
Property located at f 3 `
(tfit, dock, Road, etc.)
on1411 L , u1 EiJ .� '"�' CiP�k.�
(Waterbody) (Town an&or County) N.C.
hIe has desctibed to me, PA shown below, the development he is prgposWg at that
Iocation, and, I have no objections to his plropoEL I understand amt a
PilweAmt1ift/boathouse must be set back 2Pler/mooring
minimum distance of ftftera: fiat (23) frnrn my any
of riparian accem unless waivers by me.
I !da .= wish to waive the netback TNVh neat_
I dR wish to waive tixat sethaCk saquiarement_
13ESCIUMON AND/OR DRAW]NG OF PjtOPC)SM Di'VFLOPMPJVT:
(To be Wiwi in by individual proposinr davelopMrnt)
F` k r PL
Prmt or Type Name
2f 9 - $A- 1 '01- !!r
Telephone Number
ADJACENT RIPARIAN PROPERTY OWNER STA'I'EMENI'
(FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSE)
n
I hereby certify that I own property adjacent to w)'OL" /Z is
(Name of Pro rty Owner)
property located at - -- /_c7g9S- ,J 1
(Lot, Block, Road, etc.)
���+ C�6r.�,�s _ _ , N. C.
(Waterhody) (Town and/or 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. I understand that a pier/mooring
pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (15') from my area
of ripa ' access unless waived by me.
I do not wish to waive the setback requirement.
1 Stu wish to waive that setback requirement.
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DESCRIi'"I'1ON AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
J F:{<
. -CT r+
q 1("
Sign ure-No_V)
- --
An, yo-
Print or ;G14 Name - --ndac
5_/ (4 _-07 4-
Telephone Number
Date: