18688_WHITLEY, DONALD_19980806

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CAMA AND DREDGE AND FILL
GENERAL ��0/
PERMIT .-_�
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
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in an area of environmental concern pursuant to 15A NCAC
Applicant Name Phone Number?"
Address
City State Zip `7 14)
Project Location (County, State Road, Water Body, etc.) ` 'i �>
Type of Project Activity v :O� L _1 `
s
PROJECT DESCRIPTION SKETCH / j q
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
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Other
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=177 -I, F7
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,
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.
14rvs� �
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1 U
Q issuing date
applicant's signature
permit officer's signature
"6
attachments '
application fee �'I 4 ['
expiration date

2082
FOLEY & FOLEY CONTRACTORS, INC.
1610 OLD AIRPORT RD. PH. 919-636-2515
P.O. BOX 3482
NEW BERN, N C 28564
PAY �
TO THE
ORDER OF-
- (-'ll \ 1
,,,TRIANGLE
BANK Hwy. 70 Offiu
FOR � 0� p'o
11'000 208 211- IM 5 3 L L L8 5 21:09 3 1000 L6011-
66-11851531
DATE
$ �0-00
DOLLARS I,

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
I hereby certify that�I own property adjacent to
located at
'19 w k /
ame
(Lot, Bloc
tj
, RoAd, etc.
's property
Lot be,, C.fuhle in �JF-6y OF-ew 1�euw k 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.
V I do not wish to waive that setback requirement.
I do wish to waive that setback requirement.
Description and/or drawing of proposed devel ment: (TO BE
FILLED IN BY INDIVIDUAL PROPOSING DEVELOPMENT)
V
Signature
Name 2
YSS'
Phone Number

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
I hereby certify thatI own property adjacent to
t1 �
Name
's property
located at co ��i e,� idyl �ISoF 12rTw�, r�s. on
/ (Lot, Block, Ro , etc.)
be, C(u/-Z c in AJFo OFw l�\wadd, 0/1&Fr,y 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.
%
V I do wish to waive that setback requirement.
Description and/or drawing of proposed development: (To BE
FILLED IN BY INDIVIDUAL PROPOSING DEVELOPMENT)
4sl
Signature
Name
Phone Number

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