21045_MENGIES, TYE_19981028

1
CAMA AND DREDGE AND FILL
GENERAL N "' 021045 -C
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
Applicant Name Phone Number
Address
j City State Zip
Project Location (County, State Road, Water Body, etc.)
4 -
Type of Project Activity
l:
L9 el
PROJECT DESCRIPTION SKETCH � �� (SCALE: )
� Pier (dock) length
s at
Groin length.--ri^--�>--",..-h F /
he e / number
Bulkhead length � %� �Cf h QZ✓S!i
max. distance offshore - T
Basin, channel dimensions Q
f 1N
cubic yards
Boat ramp dimensions
Other
/ q LJ r U/
Ll17
�!
This permit is subject to compliance with this application, site,/
/
drawing and attached general and specific conditions. Any
e -
violation of these terms may subject the permittee to a fine,
_.
y applicant's signature
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 (f permit officer's signature
permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that 1) this pro- t�
ject is consistent with the local land use plan and all local issuing date expiration date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that ,¢
this project is consistent with the North Carolina Coastal application fee.
Management Program.

2332
FOLEY & FOLEY CONTRACTORS, INC.
1810 OLD AIRPORT RD. PH. 919-636-2515
P.O. BOX 3482
NEW BERN, N C 28564 66-1185/531
DATE—) �� � _
PAY
TO THE 1$
ORDER OFF
DOLLARS Ill
I�TRIANGLE
—C- ASK BANK He,.'° 0�
ZewB�e1rn, NC 2856
FOR�i� h-.� � � C i -LI 0000023320 i:0 5 3 L L l8 5 2i:0 9 3 L000 L 6011'
w

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSIBOATLIFT✓BOATHOUSE)
X 0
I hereby certify that I own property adjacent to^ �'1'1 F_ J 's
(Name of •operty Owner)
property located at 1,d ✓ �xg
Rd
(Lot, Block, Road, etc.)
on I .r2F..yj�,y k in AEW �r�[i� IZ6,�,E� , 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.
—Z I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT;
Print or Type Name
Telephone Number
Date:

s i=41'
r
19�e'Q` E 383.55'(totd) — •— — — —
F- _ -
- ¢w

FROM WardWardG•avi s FRY NC. :-526339400 Oct. 26 1998 214: 51PN F11
.00 ADJACENT MAC PROMRTY OWNER STATFAMNr
(FOR A PIERIMOOR"VG PILINGS/B'0A7i7FT 50A7H0USE)
7 hereby certify that I own Property adjacent to
Property located at
(r at, Block, Road, —etc.)
(N� o Property Owner)
's
oil
(Waterbody) lfQ �a N•C.
(Town andlor Uounty)
He Iia.S describer) to me, as shown below, the development he is proposing W that
location, and, I have no objections to his proposal. I understand that a. pier/mooring
P"'nI;s/boaWWbaathouse must be set track a minimum distance of fifleen feet
of riparian access unless waived by me. (35') from my area
I 1:1) wish to waive the setback requirement.
T d() wish to waive that setback requirement.
------------------------------------------
DESCRIP'F'ION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be,FiHed in by individual propysing de%pl$p ent)
Ut
Print or Type Naane
Telephone Number
Date:

5 19.18'41" —= 5.21'(totd)
I
A r
4 i+o n
[ o v
5 1918'41' E-385.55'(tota1) \
� t

FROM : WardWardDavis FAX NO. : 25263313400 Dec. 02 1998 11:11AM P2
12/02/199S V.-db 911063127 FLLEY ANU FULLY 1NI; PP-iL L4'L

F- ADJACENT RIPARIAN PROPERTY OVv7*TM STATEMENT
(FOR A PIERIMOORING PILINGSIBOAyLIFT/BOATHOUSE)
X0
I hereby certify that I own property adjacent to Te & �'yiF ; 's
(Name of Property Owner)
property located at 4 ✓ ;�' &
(Lot, Block, Road, etc.)
on I .� &F ; - t',y .c th 1y 1� �r�,V� 164� � , 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 do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
Print or Type Name
Telephone Number
Date: