19638_HAGENMAN, MIKE_19981210

O
CAMA AND DREDGE AND FILL
�d
GENERAL
PERMIT���r�-�
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 '' 1`i c: f 3 `'-t- tl -I- Phone Number
Address c� �" 10 t -
City ' y State Zip
Project Location (County, State Road, Water Body, etc.)'
Type of Project Activity
PROJECT DESCRIPTION SKETCH r_JAI �1
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any
I
violation of these terms may subject the permittee to a fine, -
imprisonment or civil action; and may cause the permit to be- /1
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.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
(SCALE:
r
issuing date
' applicant's signature
�l
permit officer's signature
Mi - 1�i
expiration date
attachments 4 C A ` '�/ er
application fee

_............. ....
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I
2484
FOLEY & FOLEY CONTRACTORS, INC.
1810 OLD AIRPORT RD. PH. 919-636-2515
P.O. BOX 3482 _
NEW BERN, N C 28564 66-1185/531
DATE��C
PAY r �
TO THE
ORDER OF�• l . . $ `
DOLLARS
,ATRIANGLE
ASK BANK''"".'° °�
.� New Bem, NC 28560
\' \ Nr
---- — -- ---- --- ----
1110000 2 48 Loin 1:0 5 3 L L La S 21:0 9 3 0 Olin

I hereby certify that I own property adjacent to
C 1i is property located at
(Name of Owner)
3 S06 G4 nna',-(oT" Jar.
(Lot, Block, Road, etc.)
on MFoS 9 R. �iU , in /Fj5A7 , Qft/ir) _ , NC
(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.
a�
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
HuuS 01
Signature
��cr
Print or Type Name
Telephone Number
1C1�aw

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12i07f1998 14:10 91963631-27 FOLEY AND FOLEY INC PAGE 02
b
f L/y'R " r
s TY pR0I*7CX O�JNER STATE'
I hwbYlmR* Out I own prVerty ad*mt to
� e
h
is property located of
C 1 ":
QA Block Road, Or-) >
f rin !l.1i5 , NC
(''Gown an&cr County)
to Met as damn below, the development he is proposing at that location,
i no 040cawx to his 'p ai.