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HomeMy WebLinkAbout18575_OLDE TOWN HOA_19980127O CAMA AND DREDGE AND FILL GENERAL is t41 8 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} PROJECT DESCRIPTION I SKETCH r (,t, PT,t} 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 violation of these terms may subject the permittee to a fine, 'y 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. In issuing this permit the State of North Carolina certifies that this project is consistent with the North Carolina Coastal Management Program. c) 7- 9 f issuing date attachments application fee (SCALE: ) ./r lie applicant's signature 1 1 permit officer's signature expiration date IATRIANGLE 1436 g FOLEY & FOLEY CONTRACTORS, INC. !•XBANK 66EWB51531 BERN. NC 28560 g m P O BOX 3482 NEW BERN, NC 28564 01-27-98 g PAY TO THE DENR 3 ORDER OF $ 50.00 m m FIFTY DOLLARS-------------------------------------------- DOLLARS MEMO: OLD TOWNE G �C_ 1 J r]S 1IN00 11, 36"m 1:0 5 3 1 1 18 5 21:09 3 1000 160o --_ SECURITY FEATURES: MICRO PRINT TOP A BOTTOM BORDERS COI ORF.D PATTERN ARTIFICIAL. WATERMARK ON REVERSE SIDE - MISSING FEATURE INDICATES A COPY ADIACENT RIPARIAN PROPERTY OWNER STATIIVRENT I hereby certify that I own property adjacent to R-0, Kl . 'a P located at (Name of Property Owner) (Lot, Block, Road, etc) n ��F.a� � u E�2 , in 13 42!�J C&0,1.J , NC (Waterbody) (Town andlor County) has described to me, as shown below, the development he is proposing at that location, Id, I have no objections to his proposal ---------------------------------------------------------------------------------------------------------- DESCRIMON AND/OR DRAWING OF PROPOSED DEVELOPMENT: • (To be filled in by individual proposing development) 1jOi- P . 1 Signature Name hone Number rA {, T ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to is property located at (Name of Property Owner) (Lot, Block, Road, etc.) in AJ Lo /3 42/o —,Oa is •J , 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. ------------------------------------------------------------------------------------------------------------------------ DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) —f6l�vi- PL x 1z d 1 J MR �= Print or Type Name :�/ �-- 3k-'z73U _ Telephone Number