22235_CAROLINE, CAMP_19990510

CAMA AND DREDGE AND FILL
GENERAL N9 22235 �-
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 Phone Number
Address
City State Zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
r A L 1 L 1sJ
PROJECT DESCRIPTION I SKETCH (SCALE:
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
• r' irL> ! t rhjt t
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.
attachments
F—k i ,T1
applicant's signature
permit officer's signature
issuing date expiration date
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee
Management Program.

5009
COASTAL MARINE CONTRACTORS, INC.
P.O. BOX 12729 PH. 252-638-6407
NEW BERN, NC 28560
66-112/531
DATE � ' ` 7' ( /
PAY
TO THE
ORDER OF
DOLLARS
OM-1
375 SOUTH FRONT STREET
W BERN, _ 28560
FOR _
1110000 500 911' J:0 5 3 b0 l L 2 ii: 5 L l0 L 1 2 6 9a'lm

ADJACENT RIPARIAN PROPERTY ONNINER STAT AMNTT
(FOR A PIERAVOORIXG PILINGSIBOATLIFT/BOAT110L,SE)
I hereby certify that I own property adjacent to
(Name of Property Owner)
property located at %'•
(Lot, Block, Road, etc.)
on�i%I.t �i_�r1 , in % ✓-i,;?/��� < N.C.
(Waterbody) (Toren 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/mooring
pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (I5') from my area
of riparian access unless waived by me.
I do not wish to waive the setback requirement
I do wish to waive that setback requirement.
DESCRIPTION A`-DIOR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by indii•idual proposing deti,elopment)
---------------------------------------------------------------------------------------- / ------------
Signature '
Print or Type Name
14
Telephone Number
Date:
c

It
ADJACENT RIPARIAN PROPERTY OWNTER STATEME, N T
(FOR A PIERIMOORING PILINGS/BOATUMBOA MOUSE)
I hereby certify that I own property adjacent to -' , (�'' �— is
(Name of Property Owner)
property located at y!J
(Lot, Block, Road, etc.)
onin
A N.C.
(Waterbody) (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/mooring
piti,�gs/b�atlifJboathouse must be set back a minimum distance of fifteen feet (15') frvm m} area
of riparian access unless waived by me.
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
----------- ------------------------------------------------------------------------------------------------------
bi-7SCRIPTIO\ AND/OR DRANNT G OF PROPOSED DEVELORNM T:
(To be filled in by indii•idual proposing development)
Ci-ril 61
Signature
Ri[HQrd 6- Ham" hack)
Print or Type Name
of1`t- 773 ! 33'tI L�gq-)
Telephone Number
Date: