21167_BIERMAN, TOM_19990127

CAMA AND DREDGE AND FILL
GENERAL " 021 W- l
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
A AA
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
State
Phone Number
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PROJECT DESCRIPTION SKETCH t\EC - -;>T A t E� (SCALE:
CUN
Pier (dock) length IFE e- 'AA Jit -r
Groin length ej
--------------
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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TL �k �(.,\c.n) CAN
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This permit is subject to compliance with this application, site
drawingand attached general and specific conditions. An
g P Y
violation of these terms may subject the permittee to a fine, applicant's signature
imprisonment or civil action; and may cause the permit to be J
come null and void.
This permit must be on the project site and accessible to the permit officer's signature
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 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.

FOLEY & FOLEY CONTRACTORS, INC.
PH. 252-636-2515
1810 OLD AIRPORT RD.
P.O. BOX 3482
NEW BERN, NC 28564
PAY
TO THE
ORDER OF
&TRIANGLE�1_
--\ BAN K N W'Bern, C 28560 1
FOR 13tE RMAn�I 1,46--Y d ab PO Jj IA lr�l[ �, AIIAS :1A AD M746
1110000262111• 1:0531118521:09
2621
66-1185/531
DATE / � //� '
$ago 00
DOLLARS 8M-
- -- — nr
3 1000 L 601i•

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
I hereby certify that I own property adjacent to
hOV4IV �J,� F12 wl4-tj Is property
Name
located at kdT 223 Sec- 7 F, FP
(Lot, Block, Road, etc.
. on
S 1 i ,, F' F IL in /1/ QFi z� �,�.�v.�.J N . C .
(Water Body) (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 must be set back a minimum
distance of fifteen feet (151) from my area of riparian access
unless waived by me.
I do not wish to waive that 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)
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Phone Number

Z hereby certifY that'I own property sdjaeent tca
7 how � I � ) ►s property
1 -
ems
located at kGT
10
I SIOCK, AQAQ, w.
on
J
(water y Town an or couatY)
He his described to me as shown ball w the dtvelopVmnt be Ss
proposing at that location and Z have no object.icns to his
Proposal. Y understand that a pier must be set back a minimum
diStdaas of fiftoan flat (15') fram my of ripazisn access
unless wai.v^ed b'Y Me. O%� � `� ar , � 04) 4 "
Z do not wish t.o waive that setback roquirszmnt.
do wish to waive tha
t setback requit0ment.
Description and/or drawing of propose �evelOPmentc (TO BE
rzL cv aN arc umrvWvAL P20POSM
MY 4n�Ure
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