17828_NEW BERN COUNTRY CLUB_19970618

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CAMA ND DREDGE AND FILL
GENERAL
T'--,
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
Address
city 6 i rr
Project Location !(Cqunty, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION I SKETCH,
Pier (dock) length
Groin length
number
Bulkhead length
r
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
i
a i
Phone Number irl ` t" !-9 4- 1 t
State Zip
rr��`,�
( ti
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.
(SCALE:
applicant's signature
permit officer's signature
issuing date expiration date
attachments � �j '�✓ / f `
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
L
application fee • •

FOLEY & FOP E CON RACTORS, INC.
POST OFFICE BOX 3482
NEW BERN, NORTH CAROLINA 28564-3482
WACHOVIA BANK 916 0
OF NORTH CAROLINA, N.A.
NEW BERN, 65
NORTH CAROLINA 28564
$ 50.00
PAY TO THE D.E.H.N.R.
ORDER OF -- DOLLARS
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------ -
.w ---- Security features
Fift Dollars 00 100------ included.
Details on back.
MEMO New Bern Golf Club
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
A EK� 9EAU, Ga Zd ( ('cs. j)� Cho �- 's property located at
(Name of Property Owner)
(Lot, Block Road, etc.)
on _ � l?iZI J�,� , in /i1F..&0 /bFofw 0-44U � NC
(Wate
r�3') � (Town andlor 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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
,.
4?,J,4 /kC4�
S
Print or Type Name
Telephone Number _.

. J v
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby ocrtify that I own property adjacent to
A/ Q 6-goo is property located at
(Name of Property Owner)
(Lot, block, Road, etc) _
on ( Iy;7.3 t a L , in 126A.) C 24o rO , NC
(Waterbody) (Town andlor 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.
------------------------------------------------------------------------------------------------------------------
DESCRiPTTON AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To bCce filled in by individual proposing development)
ie-
1
i l�
17 0�
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E�idt or Type Name
ez—
Telephone Number