19919_WILLIAMS, MARY_19980602

� V
CAMA AND DREDGE AND FILL
GENERAL
PERMIT COPS
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 ! "► "2 f Phone Number i1 c/ J ? S Y
Address ( (� -1 r, N .t I ti �f> �- —� s �Y 7 r? Cf-.
a
City t r �� S ,, State ri Zip d el, -7
Project Location (County,. State Road, Water Body, etc.) c6, L mot, r i 5
Type of Project Activity _-7 e' �� 1„t'' �- ,i%/ro % �L �i (� �_ r L
PROJECT DESCRIPTION SKETCH (SCALE: )
Pier (dock) length r7 r `'e,
aw
Groin length
number rC t
Bulkhead length
� Er'
t � (19 y
max. distance offshore
Basin, channel dimensions ti
cubic yards 11�
Boat ramp dimensions 4-
x �-
Other �� �' � o
� y
r
This permit is subject to compliance with this application, site - 1
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. i / h7
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.
ap p
(/ permit otticer's signature
K/k
issuing date expiration date
attachments r ? j/ ! / C ltY'�' 9
application fee. t /

FOLEY & FOLEY CONTRACTORS, INC.
1810 OLD AIRPORT RD. PH. 252-636-2515
P.O. BOX 3482
NEW BERN, N.C. 28564
PAY
TO THE
ORDER OF
I�TMANGLE
OAK BANK Newllwy. B 0���
� New Be(rn''�, NC 28560 Q
FOR �'x �t 1 laY�,.� G�# 1`lgl� S
�o
1100000 18 5 LII' i:0 5 3 1 1 18 5 21:09 3 1000 16011'
1851
66-1185/531
DATE
$ 'SO.DO
OLLARS Ill as
xr

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
I hereby certify thatI own property adjacent to
�1!1, gsi"QJ ;.. r Is property
located at IS
Name
z Rig. La
(Lot B
on
Q2 crr C.QM K in Aj j 12gow . A.;. G C W'd At/ 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 DEVE�ORMENT)
Signature
Name
Phone Number

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
I hereby certify that I own property adjacent to
.07L4(Z1 i�Fs�fucJ (,c�. ��(. no... r 's property
/ Name
located at s a R e. La C &W r Q. on
(Lot, Block, Road, etc.)
r
2� c,r• C �C(ih K in E«) /.?Ft,) . A..). (. 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 BY INDIVIDUAL PROPOSING DEVEhOP1ENT)
,r'
/&a
Name
Phone Number