19954_MATTOCKS, BOB_19980730

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CAMA AND DRE E A
DG ND FILL �
GENERALS-4
PERMIT .zn.
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 r G'lr J t.� `� Phone Number'
Address .0 1, ee,
City State ,Zip
Project Location _(County, State Road, Water Body, etc.) ✓ f !� ' `7 3e, 3
T pe of ,roject Activity71
PROJECT DESCRIPTION SKETCH
Pier (dock) length r TA
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
21her
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t,)'1
(SCALE: %V )
At) TA
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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 fin,--
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.
attachments
Y A
j applicant's signature
• �i, permit officer's signature
issuing date expiration date
i
In issuing this permit the State of North Carolina certifies that I
this project is consistent with the North Carolina Coastal application fee all
Management Program.

2061
FOLEY & FOLEY CONTRACTORS, INC.
1810 OLD AIRPORT RD. PH. 919-636-2515
P.O. BOX 3482
NEW BERN, N C 28564 DATE 66-1185/531
� 2O ^ C.�
PAY
TO THE \ ` , O I $ 5-0 .0 b
ORDER OF 1�
r
DOLLARS 0��
IATRIANGLE
A X BANK Nam.'° ° m
� \ New Bern, NC 28560
FOR �o�T 7<C. C.( &YW 111 G i '�;�
II10000 206 LII' 1:0 5 3 L L L8 5 21:09 3 L000 I�On'
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.r JACF.I'qT. tIP'ARIAN PROPERTY Ovid STA
TjQumqT
A PfVjlli 1idOVNG PUNGS/BUATLlx'l'1BDA Ol3S8? .
to;y certifj+ that t own property adjacent to
`1 (Name of Property Owner 'a
pm
put y10Mted rt� �' •� 0
(Lot, Block Road in V
�xterb�ody) N-C.
(Town an or County)
Rt has de; 0bed to me, , As' shown below, the development he is proposing at that
l(�CAttDtlt, :anii; Y: ;have no. abjections to has proposal, I understand that a pies/mooring
1= iY - th611se must:baAct back a minimum distance of tii%tt feet (I5') from my ,
440 Access utIcsa Wi ed by me.
del 1.
Q -tw wide . to *VJVe the setback requirement.
140, .wish to waive that setback requirement.
U SC"R TON AND/OR DRAWING
µ, 7 WING OF PROPOSED DEVELOpNMN',I':
+ . (7b be Alled- in by ihdsvidual ro ostnS devda meat
P P P f
Si$nattue �-��
Print or Type Name
--E,
os
Teleph'ana Number
Date:�.
- d ads :)wdD wdco :ei e6, 92 -inf

ago
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-IUL-28 10:00 NEW BERN BUILDING SUPPLY 1P919P638PS746 P.02
tPLE':'- T FC,LE'')' i' iC Fr=�iE J1I
ADJACMT RIPARIAN PROPERTY OWNER STATEMINT
(FOR A PIER/MOORING PI-LINGS/BOAnJFT/BUA7WOUSE)
I hereby cerUty that 1 own property wijacent to �Dir It'1 77a�kt -- 's
(Name of Property Owner)
ProPerty located at S' 3 0 S
S.�G 3 (Lot, Block, Road, etc.)
_
(Waterbody) (Town and/or County)
He has dew-ribed 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/boadift/boathouse must beset hack a m.inirnum distance of fifteen feet (15') from my area
of r1parian actress unless waived by me.
---Z— I do not wish to waive the setback requirement.
dg wish to waive ciat setback requirement.
DESCRUMO,'v AND/OR DRAWIlVG OF PROPOSED DEVEI,OPMEI4 r;
(To be filled in by individual pmposln,g development)
nature
,Y' 4 G?/�GGr, 2S'
Print or Type Name
2� 2-- / 33-3 SS'
Telephone Number
Date: __ 71P- .98

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