19955_WILLATTS, BILL_19980730

O
CAMA AND DREDGE AND FILL ✓"' o�
GENERAL oug955—
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 ` ! ! l r �` t Phone Number �vd 2
Address ` J j J r
City g StateZip `� t
Project Location ,(County, State Road, Water Body, etc.)
,, x,-.. C,
Type of Project Activity ' ' `' �� `° r' + -dL
PROJECT DESCRIPTION I SKETCH
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
T
0
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.
attachments
fj (SCALE:
._.
issuing date expiration date
In issuing this permit the State of North Carolina certifies that , . "J f � -
this project is consistent with the North Carolina Coastal application fee
Management Program.

2062
FOLEY & FOLEY CONTRACTORS, INC.
1810 OLD AIRPORT RD. PH. 919-636-2515
P.O. BOX 3482
NEW BERN, N C 28564
66-1185/ 531
DATE o
PAY
TO THEER OF I �� O T
ORDER OF {�. v
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��.b'��Q _ _DOLLARS M Ems.
I�TRIANGLE
A& BANK """'° _
ew B rn, NC
FOR �Tr
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00000 206 211' i:0 5 3 1 1 18 5 21:0 9 3 10 6011■

2B"1P
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
I hereby certify that I own property adjacent to
W c of ITS Is property
Name
located at y 16 Q-�,4oywiz�a J Ly , on
(Lot, Block, Road, etc.)
M-Fusr R'L,/rpq in kF-iclj 13,57riJi 017�X;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 DEVELOPN!ENT)
7hf- CD-
rM. R
Signature
Name
Phone Number

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
I hereby certify thatI own property adjacent to
b) , k4FFM1 Is property
Name
located on
(Lot, Block, Road, etc.)
J �y �I
! C U-sF �• c� /�''t in F-W /391aJ, 0W- (-) i;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 (15') 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 BIJ INDIVIDUAL PROPOSING DEVELOPMENT)
R
F l Cx
a
Signature
-r , I 1,y � LQ-
Name
Phone Number
UW� � CCO%TJi�c /�o M,� 6wNT�� r9t r.