19953_PHILLIPS, GARY_19980730

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CAMA AND DREDGE AND FILL
GENERAL
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 61, Phone Number ' J
Address
City _ �• ,� /f' y
Project Location (County, State, Road, Water.,Body, etc.) C
3
Type of Project Activity,,,./
PROJECT DESCRIPTION SKETCH
Pier (dock) length
State "
zip i9 i
(SCALE:
Groin length
a yi
number
Bulkhead length
o
1f
cC 1f
rri � distance offshore
)
Basin, channel dimensions
cubic yards%
a C (%
C O
!
r?Q a G
Boat ramp dimensions
�-
Other
-4
This permit is subject to
drawing and attached
compliance with this application, site
general and specific conditions. Any
violation of these terms
may subject the permittee to a fine,
imprisonment or civil action;
come null and void.
and may cause the permit to be-
-�^ f _�
-'
This permit must be on
the project site and accessible to the
permit officer when the
project is inspected for compliance.
-7
r
The applicant certifies
by signing this permit that 1) this pro-
ject is consistent with
the local land use plan and all local
issuing date
ordinances, and 2) a written statement has been obtained from
11
applicant's
permit otticer's signature
expiration date
adjacent riparian landowners certifying that they have no
objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee
Management Program.

2060
FOLEY & FOLEY CONTRACTORS, INC.
1810 OLD AIRPORT RD. PH. 919-636-2515
P.O. BOX 3482
NEW BERN, N C 28564
PAY
TO THE
ORDER OF
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70 FOR BANK N W B o�N 8560
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110000 20 6011- l:0 5 3 L L L8 5 21:09 3 L000 L 6011■
66-1185/531
DATE
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DOLLARS ��

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGS/BOATLIFF/BOATHOUSE)
I hereby certify that I own property adjacent to
s
(N a of Propert Owner)
Property located at
(Lot, Bloc , Road, etc.)
on �� _� ` ► � in
(Waterbody) N.C.
�(To�andl�oCo�unty)���,
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 access unless waived by me.
X I do not wish to waive the setback requirement.
I dQ wish to waive that setback requirement.
----------------------------________-----_
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: ---------
` (To be filled in by individual pro osing development)
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Sign re ��
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Pratt or Type Name
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Telephone Number
Date: 1- 1 c� �t)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSIBOA7LIFF/BOATHOUSE)
I hereby certify that I own property adjacent to is
(N a of Property Owner)
property located at
(Lot, Block, Road, etc.)
on �. lU`\� ' -� �\l e� , in , N.C.
(Waterbody) (Town aud/o4 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
piUngs/boatlift/boathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
._/_ I do not wish to waive the setback requirement.
I dQ wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
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------------------
Signature
Print or Type Name
Telephone Number
Date: ?d:::7