23180_HATHAWAY, PETEY_19990806

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CAMA AND DREDGE AND FILL �� V
GENERAL Mo 23180 -�
CL;�vk;N
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.)
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Type of Project Activity '} e ` 1
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PROJECT DESCRIPTION
SKETCH
--,.
(SCALE:
)
Pier (dock) length
Groin length
number —
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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This permit is subject to compliance with this application, site 1
drawing and attached general and specific conditions. �ny
violation of these terms may subject the permittee to a firl-c
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
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.

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.--
Z/j
&TRIANGLE
AWN BANK Hwy. 70 Office
New Bern, NC 28560
FOR -/!, 14AJ 4mlmI a�k
11100002131SO 1:053LILB521:093L000L60111
2815
DATE 'q- /J-Y.19 66-1185/531
1 $ /0000
dG
DOLLARS
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0 120 CRAVEN COUNTY DOES NOT WARRANT THE INFORMATION SHOWN ON THIS YAP AND
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AC
AN PROPERTY OWNER ST
(FOR A PIER)
I hereby cer'tlify thatI own property adjacent to
91--
located at
Name
� i I �
(A►Z! I M
(Lot, Block,
, etc.)
s property
(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
, on
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
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
I►?,ffi) IN INDIVIDUAL PROPOSING D8V=PM$NT)
/t, r.o.sx R
n�
gnature
Name
Phone Number
� Z

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
I hereby certify that -I own property adjacent to
Name
located at AO / /
Lot, Block, Road, etc.
's property
, on
%y F J R PI, R4 in /c 040,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)
IN ^l n
gnature
JX�Y�r% L- <<r t c►
Name
Phone Number

ADJACENT RIPARIAN-PROPERTY-OWNER.STATEMENT
(FOR A PIER)
I hereby certify that own property adjacent to
EW ti-md 3QV 's property
Name
E
located at C2F_F1C
(Lot, Block, Road, etc.
, on
—Aj u r O�. in - 4. 0 F= 4o ( le- _ _ <"`r�9�af� 11. 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.
:x
I do not wish to waive that setback retruirement.
0
VC --ado wish to waive that setback requirement
Description and/or drawing of proposed development: (TO BE
FILLED IN BY INDIVIDUAL PROPOSING DEVELOPMENT)
_ _.aature
Name
a Phone Number
a�s�

07/01/09 21:00 FAX
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08/05/90 22:24 FAX
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facsimile
TRANSMITTAL
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date: g - sr - q
pages; 2 . Including thls cover sheet
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u a' 1 w WF fffA� to 1� Am of 252-636 J 12 7
at no teal lo you.