22230_MULLENS, JIM_19990503

CAMA AND DREDGE AND FILL (GI
GENERAL NOD 22230 _�
PERMIT
as authorized by the State of North Carolina
IJ✓l��/ 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
City State Zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
F51i Limit lc ��r (( Tt� ti-�Gr, [ice 4r1— XIS
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PROJECT DESCRIPTION SKETCH (SCALE:
Pier (dock) lengthy
Groin length
T
number I
`f
Bulkhead length
max. distance offshore�-
X r
Basin, channel dimensions
f 4- �.
cubic yards POW l�t f�t9
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.
capplicant's signature
permit officer's signature
7LAI
issuing date expiration date
attachments c ! (�
0.
application fee !�

MEDFORD CONSTRUCTION
802-B NEUSE DRIVE 919-635-5242
NEW BERN, NC 28560
P� AY TO THE'
ORDER OF
1 1
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66-1185/531 1276
0931000210
DATE 5- _
,TRIANGLE Office&W BANK New Bem, NC 28560,
MEMO
1:0531 41 2�.0�93 t 2 1011' 1 276
DOLLARS 0

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Name Of Individual Applying For Permit: T%," M,s 11-e4f
Address Of Property: to f 2 f , S<< A
D4ft, iOw H r. 40, I'. Ar:y A Awe A<C, J29A J1rCO C.s.
(Lot -or rest , Street or Road, City & County)
I hereby certify that I own property adjacent to.the above -
referenced property. The individual applying for this permit has
described to sae as shown on the attached drawing the development
they are proposing. P_ description or drawing, with dimensions,
should be provided with this letter.
have no objections to this proposal.
0�y VA 31: •
I understand that a pier, dock, mooring pilings, breakwater, boat
house, lift or sandbags must be set rack a minimum distance of 15'
from my arPA of riparian access unless waived by ma_ (If you wish
to waive the setback, you X= initial the appropriate blank
below.)
I do wish to waive the 15'setback requirement.
I do not wish to Waive the 151setback requirement.
I
Printsama
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Telephcne Numter With Area Code
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IXYMN of COASTAL ILAMF iG
ADMOI tT REPAXIAN Ovum HOUPWs730"AIT s YGUM
Moll e to f
Address of ProOW. L a .. 19� 5- PC Pon o'L ,� ...... _�
(Let a awe f, tt+rm cc ho4 ap R cmw
i :...�: ►; r dw 1860 P=fZ&J a*saamt t:e 8w abo.-I rshn=a . '�*�+ f tv3dr•�
appty, for this peradt brm dam bed to ma as smm = dra anwhad drawkad do dwmiopmeat
they am ptopomfnS. A de■,dp m or dmwlAL wbb dbrioas, dm ld be turodW wilt this
kw.
I hm no Woofim to this pmp uL
If you Am oNsoku to Am b beh t IvPos4 Pkow wift the Dh"n of QamW
1{ta o w4 Boom Places R, I.!'ID, Mpy. 24, M*rW6 d CW AV. 2M. 7 or cuff PM SO&
2hA v6Vx ltirt'mo* ofshfe aodca. Ne r srdea dke s+m are ae o
(fyoa Aaur hex aosbW by COMW MaL
I undwasad drat a pier, doh moodnt pdinak bnokwder, boat bow*. ft or madW otm bo
set bark it minirmmt &omm of I3' Am my sm of sipwim now udw wdvrd by ma. (Vyoa
with to waive the astbsak, you must biW dw appn*rtats Mo* bdm.j
I do whb to who the IY sadn* raquh mm
I do nit wbb to waive the l Y setback raquWam,ont.
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