18651_PURIFOY, DAVID_19980304

c CAMA AND DREDGE AND FILL �P
GENERAL
JL
PERM I T
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
AAAr- -
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION SKETCH
Pier (dock) length
Groin length
number_
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
State
T
Phone Number
Zip
(SCALE:
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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,
applicant's signature
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
issuing date
permit officer's signature
expiration date
In issuing this permit the State of North Carolina certifies that
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this project is consistent with the North Carolina Coastal application fee
Management Program.

FOLEY & FOLEY CONSTRUCTION INC.
1810 OLD AIRPORT RD. PH. 919-636-2515
P.O. BOX 3482
NEW BERN, N.C. 28564
PAY
TO THE `
ORDER OF..
:7,ATRIANGLE
BAN K '',�.'° °��
ew Bern, NC (28560
FOR ——
0000 L 5 S" '.0 5 3 1 L lB 5 2l.. 0 9 3 10 0 V 6011'
1555
2 --a 'Cl 2 — 66-1185/531
DATE
DOLLARS

02/17/1998 12:12 9197351400 ULTIMATE RAAZ PAGE 01
61/31.I199s 16:05 919a363127 M.E'i FCLEY I IC FAI;E 02
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p �ogYrio+�lven':to'hll:Jlieraod Y ., hsnd poet propatJnr the;p tct..:. .
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^; f(lce,o��builQit>d pci�ait;.A tote ctto
building.lnappns'•r''"
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lieicby cer if
' r. t. y l.tial. • 1 ..
osm pYaperty eHjl�erntrYp
Name of ;]anda,,�er_prop. is:,� develoinoent ori..,t�je., �,;���►�l}'J ,
_ cf.water-
-Subdivision,,
.body.
.. � :omUatty - 'lAotiQ�.p f •'� ' ��.. , .�'.
Tex t>F.a pltcable_ i
•parcel U
ily -• - .� .� .
ob Cosaplete demlption of 11Qu.t<,.
1nc�te this
She Proposed pt•ojErt, e' "'.�� .
d"Ctlbed tq Ot as Awn_inotLe ra�wt g btloH and the
orelioa 1;e6 Lech
to t h.e f'r090sai. srdl have 110 objecticus
JVR A FICK, tffECK O�Ii Up THE JbLWWjNG:
Z wish to waive tt:g 1ST hitiiclum 6ctbacl,. ft-om my riparian access,
i DO 1401 wish to waive, the 15, migirauai f:etback requireotntr
RRR1RRMRAIItRR{kiRRAR�RRt1lRRRRkAR}RRRRi1AfRRRR11lAIlARf<f,�RARfAAR�RARE�
Aran ihe.propoxed.strvct0re in,the t;peCe providtd below. I.tet the ai¢F
of the et.tucture end meaCured distances fcon the adJscerlt property
Linea, other 6triictules on the property, and the road, water► ecc.
71
Boor
I lotT�:
l

40 �',(""�'"�. "• �,L ' c�.1MiN MiY,•.,y L2 ���" ?�Ivj 1r:• .
o � 'Fi �•' o .sir .,wx
A,y 11,�. f , ..• N. ' yA.77
h �•"_i+DBUg 7)G ;:� 1'AP1LlG'O�'{:iAUNrY HUSWI+l�Ci IKb!'tCiIODiY•' $AYBV�i+Jr'.N,G.' 5�851fi
(lifter thla:iom, ic.completed by. , the•landownev proposing''the"projtcf'.' .
a copy is S/vatk to:hlsther.'adjacept londowners'for .their consent and
'`'
aignstures. ,'.1'he; forms, are kbicn_.returniad,',along,with AAJu1lding`plan y ,
..""'t}i�d"oEtfe#"ePpl4cabl� a"information; to qe 8ufsding lnspect(anrt'
crftice fux baildiagperait:applicat{os►/pracecsi g.)- t•'' ����
AUJAL'ENV.'RlPART AN PROPERTY OWNER STATEMENT qo
^� n L hereby certify that i own property adjacent to.'
lAr `—e3a' 's on
Tama of landowner prop in$ development body, of Water
in/near_jA ; ,12 'ikLD of,g:2&1"Jr +a ,
c6mmunity Subdivision, if qfPliciable.".'
Tax Parcel On6 off bp,- Goarplete description of how t ,
locate this property t
211e prapoard rzoject, A'_BQ�dAQyi& • , and the location has been
dcactibed tq we as shown in the drawing below and l bare no objection&
to the protfosal,
FOR A PIEti, CHECK ONE or THE fOLLOHING:
1 Wish to waive the 154 milamum setback from my ripariall ateeSS.
. 1 DO Nor wish to waive the 15,ttbam•*R�ARRRRMtfOARyl1R}RRRRRlfRAARRRfARRRR�}R kRRRR*NRRfRkAARRRRRRRfRRkk
Draw cRe e4ujrEtntet:
FUttur a+ntcvcture in the apace provided below,
of the atYUCttrl and fiessuied dtBtances fron
tines' other aetl�cttises on the Lis[ the site
pzOoect the adjacent At•operty
-- y and the toad
WAC.f�r etc:.
NOWA
/3A>pr
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TO 301,,'d :i^J1 r•.3"a_ ! I ir, h3�0� T; '3596i6 aL ;$1 6��T/OF;'ir
TO 39Gd
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