21137_QUARLES, RICHARD_19990204

Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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Applicant Name _
Address
City
CAMA AND DREDGE AND FILL
GENERAL
PERMIT
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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
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION I SKETCH
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State
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.
Phone Number
Zip
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i applicant's signature
permit officer's signature
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issuing date expiration date
D� attachments . �Icx� / o��l j-10D
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee
Management Program.

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MEDFORD CONSTRUCTION
802-B NEUSE DRIVE 919-635-5242
NEW BERN, NC 28560
66-1185/531 1029
093100000022(10
DATE v ��
PAY TO THE _ I l L l Is 570 �,
ORDER OF
DOLLARS 8
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&TRIANGLE
BANK Hwy. ,oOffice
ew Bem, NC 28 0 L
MEMO r J — _ NP
1:053111B521:093L0002101" 1029

' ADJACENT RIPARIAN 1IMPHIVIT OWNER STA'I EMI{,N'I'
f (FOR A PIER/i1N(.10VIsRED BOAT LII,-I)
I herchy certify that t own property adjacent Ili R% e hs, d— Q u s r l e f .s
(Name of Prolwily ()wile,.)
paiperty locatc(l at '�2 o ` 6°ra Jq-7k R a. /L)e ti.
(I,t)f, hx-k, Road, etc.)
an s /aa l_ 4 /;
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(Wnterbody) (Town andlor Collnty)
lie has tlescrihctl to Inc, as shown below, lite (levelol►mcilt lie is IMInIX)sing at film
lOcRtian, Rntl, I have no Nijcctit►ns I0 his ln"ol►osal. I untlerstiml that a pirrhincuvrrc(I I►ojt lift
'Must lie set I►ack n minimlInl (listancc of fifteen feel (IS') from illy area of riparian access Imlrs.c
wstivett by tile.
1 do np( wish to waive Ihr sc(la+ck rvclnilr'IctU.
X I 41Q wish to %waive that setback rctluircn+cnt,
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E.SC:R11''1'ION A11'I)AM DRAWING OF 1'It()11(),SII,1) I)I.,VI?I,()1'MI-,N'I'e
0i) he filled in by indirldunl prnpocing developrn#,n')
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print or Tylve Name
Telephone Number
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Date-

' ADJACENT RIPARIAN 141OPER'I'Y OWNER STA'1 EMEM'
r (FOR A P1ER/11N('tlVERED BOAT LII%1)
I hereby certify that I own property adjacent to _ A ; , h.,,j a agile s .�
(Nnnrr of Pi-opelly Owner)
prulr'crty locatccl at pAd/ /,' /� c ,x! c_ ASG:� .
(1,ot� too k� ltonoi,till 5; ctc.J
COCI v, h , N.C.
(Waterbody) (Town and/or- County)
lie has described to tile, as shown below, the develo►pmcnt he is prnlioorsing at that
location, and, 1 Irave no cArjections to his prolwsal. I understated that a hit`rlurx;orvcrcol ho,,t lift
n►rrst tie set hack a mininrrrm distance of fifteen feet (15') from my area of ripariall access untes,s
waived by tile.
I tlp npt wish to w;uvr' the setback ivoluito•+u(,nt.
I (Io wish to waive that Setback requirement.
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DESC:RIVI'mN ANDMR DRAWING OF PRO I'(),5I,,j) 1)I�V1+,1,f)1'MI,,N'1';----------
(1 i) he filled in fndlvl(Iunl mposing drrelopm#,nt)
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feint or 'I'ylse Name
Telephone Number
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Date'
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MEDFORD MARINE CONST.
P. 0. BOX 3556
NEW BERN, NC 28564-M
W 635-5242 - FAX [phone]
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