21483_GASKINS, ALLEN_19990310

CAMA AND DREDGE AND FILL
GENERAL 1 eJ 021 483-C"
PERMIT 1411
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 i- Zip
Project Location (County, State Road, Water Body, etc.) f `
T pe of Project Activity
cDAIT- kooIFt60 31�1�9 - F1oJr;� T �«i "i� UtYs wt �S �F Gk TIrJL� .
PROJECT DESCRIPTION
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other&
SKETCH
fp r-T-
ZA
i 7 c.-M lT MOD Fta r
31 �s15�► �kru>1-
MoJ �o Ta vPsTR.ertv�n
4 01 Ia ems' e:y� kSClnl ,?%ea
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
(SCALE: )IN45 )
1. v. k_
I
ta�y_L��
i
applicant's signature
n
issuing date
permit officer's signature
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.
PH. 252-636-2515
1810 OLD AIRPORT RD.
P.O. BOX 3482
NEW BERN, NC 28564
PAY
TO THE
ORDER OF
I�,TRIANG& "
��, BANK i1er C- ''r , �►�(�; — _`�-�' f��
Newew Horn,, NC 28560
FOR �Si7C,�t��f
II■o000 2 7 Mill l:0 5 3 L L L8 5 2l:0 9 3 L000 L roll'
2728
66-1185/531
DATE
$ Z56,oa
DOLLARS 0�
My

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to L L FJ 15g i k ..N r 's
(Name of Property Owner)
property located at I I'►1 A� a rh a e �M f �N. ,
(Lot, Block, Road, etc.)
on 1 ea,;—)— R, ,, Eft , in N ew f3 E" C1?4 ,0 &J , 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
pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (15') from my area
of rip an access unless waived by me.
7I do not wish to waive the 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)
Print or Type Name
Telephone Number
"4' �q- 1
Date: ��

ADJACENT RIPARIAN PROPERTY OWNER STATE MEENI'
(FOR A PIERIMOORING PILINGSIBOATLIFFIBOATHOUSE)
I hereby certify that I own property adjacent to U F'i q j k ; N r 's
(Name of Property Owner)
property located at a a K. 4N
(Lot, Block, Road, etc.)
on Iej.�2, En , in NFW /3Goa C1 ate,E' , 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
pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian ss unless waived by me.
I do not wish to waive the 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)
Print or Type Name
Telephone Number
Date: