17015_STEPHENSON, TOM_19970311

Applicant
Address
CGENERAL RUB
AMA AND DREDGE AND FILL
5 _F
ell
PERMIT Ic
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 /
f C''3,^ �f " + ��, r� Phone Number10,
Cityd0 L'n
Project 416ca ion (County, State Road, Water Body, etc.)
Type of Project Activity ^ t;ke-, ' 3 3 r b y
State
41
L• Y'' y r !� r -�
Zip �SJS�G
PROJECT DESCRIPTION SKETCH (SCALE:TTT 7—T—r
}
Pier (dock) length
Groin length�.­7 / 7 O./f
�}
number I p I I
Bulkhead length
max. distance offshore / ► f h �, (�'��� ` I� I ' �-
75 f
Basin, channel dimensions
---f,7.F i _ I
cubic yards
Boat ramp dimensions
Other
i I
s
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.
\ applicant's signature
permit officer's signature
issuing date expiration date
attachments
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
application fee

FOLEY & FOLEY CONTRACTORS, INC.
PH. [phone]
POST OFFICE BOX 3482
NEW BERN, NORTH CAROLINA 28564-3482
PAY TO THE ORDER OFD,E.H.N.R.
------------Fifty
WACHOVIA BANK
OF NORTH CAROLINA, N.A.
NEW BERN, NORTH CAROLINA 28564
66-152/531
March 11, 1997
50.00/100
and xx/100- -------------------- ------ DOLLARS
�Security ieaWres
y included.
Details on back.
1 drr,_
MEMO Shp-pbPnsnn e�Prmi —r P
II.008 70811■ ii:0 5 3 LO L 5 2 91:
580 6 000907111
TWO SIGNATURES REQUIRED

— �.. jxvrzfcTY OWNED ST
�fy that I ownprnp�yad�a� to
(Name of 's property located at
� aT
(Lot
on AE3;
(Wat
in
N
(T'own andlo C
He has describedr ounty)
to me, as shown below, the development he is
� I have no ob•ec6o .
----------------- J ns to his Proposal. Pmposuig at that location,
di
DESCRIp�gON-------------
AND/ R DRAWING ------------------
. • (To be filled in by indi OF PROPOSED DEVELOPMENT.
Proposing development)
Signature
Print or Type Name
UephOIIe Number

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
's property located at
(Name of Property er)
(Lot, Block, Road, etc.)
on , in
(Wat ) (Town and\or aunty)
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)
Po' I rJ C-0 A /C- C (;') J �v \'4&� .
W,
Signature
Print or Type Name
Telephone Number