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HomeMy WebLinkAbout22275_MARTIAN, PAUL_199906042� 1 ' 70) CAMA AND DREDGE AND FILL GENERAL M 22275 �n�- C�­r�Jc �CU. PERi10�1IT as authorized by the State of North Carolina Il✓� Department of Environment, Health, and Natural Resources and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ' Applicant Name i it. I ,�N Phone Number Address - n`'� C'uu7T City State t - zip ;~ Project Location (County, State Road, Water Body, etc.) r`-' Type of Project Activity C C r` t` Q, 1 —1, Nc, ;: 'L PROJECT DESCRIPTION I SKETCH (SCALE: Pier (dock) length Groin length number — Bulkhead length max. distance offshore jt tr elV,�re .� i�i r f1 �< T F, �t.� F 1) it/7, f t_t_ .r�;�i✓tt .� Tc� r •� _,,Lr u�,; �ll��-I E i i •1 ?LE -N C N E; TL..) P �E t: N'T Z� �_ t• CCy=�VrN t E 1� Basin, channel dimensions i �i� _ t}cry '_ �� cubic yards Boat ramp dimensions Other r %II .---" C I: �7 l- -� 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 issuing date expiration date attachments CD '�-4 . I?C) l (-f-i � � 1-5c5,J In issuing this permit the State of North Carolina certifies that this project is consistent with the North Carolina Coastal Management Program. application fee FOLEY & FOLEY CONTRACTORS, INC. PH. 252-636-2515 1810 OLD AIRPORT RD. P.O. BOX 3482 NEW BERN, NC 28564 PAY TO THE r I\ ORDER OF�I T--- &TRIANGLE \ A�\ BANK '`� '° °° New Be 7FOR 1100000 296 2ul 1:0 5 3 L L 1,13S 21:09 3 1000 160i1' 2962 I_l. r� S 66-1185/531 DATE 0 0 nOLLARS NP It ip ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER) I hereby certify that I own property adjacent to Ay L M OK i, �/'J is property Name located at _(n/0Z e �'1��f C A7-,_r sFe S on (Lot, Block, Road, etc.) �e,,� S POP �G � C in /V cc ) /-S � -6`y r,� N.C. (W ter Body) (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 must be set back a minimum distance of fifteen feet (151) from my area of riparian access unless waived by me. I do not wish to waive that setback requirement. I do wish to waive that setback requirement. Description and/or drawing of proposed development: (TO BE FILLED IN BY INDIVIDUAL PROPS G DEVELOPMENT) .l CY " • �X's � N 7a r ho k-- Signature VA-?- L-E�7T,::; Name Phone Number ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER) I hereby certify that I own property adjacent to A L Pq OK h 6;zl-j ' s property Name located at _61OZ �'��.1 C-t- for fFe s on (Lot, Block, Road, etc.) i in LV Fa? /�,E�G,) Cr N.C. (W ter Body) (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 must be set back a minimum distance of fifteen feet (151) from my area of riparian access unless waived by me. I do not wish to waive that setback requirement. I do wish to waive that setback requirement. Description and/or drawing of proposed development: (TO BE IrILLEb IN BY INDIVIDUAL PRO�Os G DEVELOPMENT) N p � G �U S fz ture N Phone Number