21169_DEMPSEY, BOB_19990127

O
CAMA AND DREDGE AND FILL
GENERAL L,
PERMIT
as authorized by the State of North Carolina A-V
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 Z It
PROJECT DESCRIPTION SKETCH . 1 r r_tJ —ray==� — (SCALE: j�C(�r )
Pier (dock) length y ( ;� 1`1 1 eJl �11`�: �.Y �• Y
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
L!l;ltiv~Ir
22�Y.
'TF'f\IN 1'iFi.
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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
r
permit officer's signature
j !
attachments
ssuing 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.

FOLEY & FOLEY CONTRACTORS, INC. 2621
PH. 252-636-2515
1810 OLD AIRPORT RD.
P.O. BOX 3482
NEW BERN, NC 28564 66-1185/531
PAY
�� DATE
TO THE
ORDER OF 1 (�J- L� .�J /V %1i� I $ AsO qO
DOLLARS
_&TRIANGLE - -
��� BANK Ilwy. 70 0f -c
New Bem, NC 28560
FOR B1fTIwAnj4 ZtµNMYNP
11'0000 2 6 2 111' 1:0 5 3 1 1 l8 5 21:0 9 3 1000 16011'

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
I hereby certify thatI own property adjacent to
BOB DEMPSEY is property
Name
located at LOT#90 OLDE TOWN , on
(Lot, Block, Road, etc.)
TURTLE BAY in NEW BERN/CRAVEN , 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)
Signat re
e,
Nam
Phone Number
9

Q o U Di� rEY
3 ST.
r C,
7 N`J ' o sFo
aka

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
I hereby certify that I own property adjacent to
BOB DEMPSEY 's property
Name
located at LOT#90 OLDE TOWN , on
(Lot, Block, Road, etc.)
TURTLE BAY in NEW BERN/CRAVEN , 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 (15') 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)
.S' nature
Name
4/�,33--/-000
Phone Number

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Pwp
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INVOICE PREPARATION WORKSHEET
NAME:
DATE: / /I9
To the best of my knowledge the above named job is now complete and ready for the final invoice to be prepared
and delivered to the customer. All items included in the original agreement have been completed in addition to
any Change Orders executed during the construction of this job. I have/have not had an indication from the
Customer that he has accepted the work as is and is awaiting an invoice in order to produce payment.
Were there any Change Order Items included on this job?
If so, have they all been signed by the Customer and included in the file?
SIGNATURE:
Please prepare the final invoice on the above named job according to The following items:
This invoice to be mailed or hand delivered?
Have all items been verified for accurateness?
1) Prepare Envelope? 2) SASE included in Mailing? Date Prepared: / /19
Date Mailed: / 19 Invoice Number Assigned 0 Hand delivered?
USE REVERSE FOR ADDITIONAL SPACE
Invoice Preparation Form