25505_HERRING, VICKIE_20000425

CAMA and DREDGE AND FILL
PERMIT
as authorized by the State of North Carolina
Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC
is Applicant Name t::�'� '-'f'rRjtx� Phone Number
Address
City
Project Location (County, State Road, Water Body, etc.)
State f-J Zip
Tt,
Type of Project ActivityNtT- r�oo 11= t
12 SUS Zoom koo g t�c'2�r 11T tt t�takT1`E tf'�
PROJECT DESCRIPTION SKETCH
Pier (dock) Length
el, -tat "To
Groin Length Fn
number 11. ]
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
Thic armit is caikiart to rmmr%lianr•a with this ann)ir•atinn_ 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 become null and void.
This permit must be on the project site and accessible to the permit of-
ficer when the project is inspected for compliance. The applicant certi-
fies by signing this permit that 1) this project 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.
(SCALE:
applicant's signature
permit officer's signature
issuing date expiration date
attachments
application fee

FOLEY & FOLEY CONTRACTORS, INC.
PH. 252-636-2515
1810 OLD AIRPORT RD.
P.O. BOX 3482
NEW BERN, NC 28564
3193
66-1185/531
DATE
PAY ,{ �a 00
TO THE 'v
ORDER OF
DOLLARS
&TRIAN G,LE Office des ass��,
!►��� BAN K New Bern, NC 28560 ��sa
-------- -------^�
FOR --
u�0000 3 L9 311' 0 5 3 L L L8 5 21:09 00 Oi�'

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Customer Job Requiretment Worksheet
Customer Name, � C��I E'P�!ETT!% C Date u-N-00
Mailing Address (� UE t � �� ob site Address e'
• ' •.,;Q.1 •
Adjecent Property Owners
Left sideA), , �� e, Right side7s� ��
st�o 4 4--M
P
Date Mailed�(Xeturned Date MailedL - d-( Returned
Cert. Mailed Returned
State (CAMA)Q�
City
County C-V`�W \ NF fIr /7(,0k0e,'.c
Fairfield Harbour
Bulkhead
Dock& )< �$D
Boatlift
Jettie
Cert. Mailed Returned
Permit Required
Recieved
Recieved
Recieved
Recieved
Job Type
Boathouse
Jet Ski Lift-��a
Ramp
Piling

04/19/00 WED 09:45 FAX
04/ISHPP' f:- —'00- 02-':S' 4511 Fit if IT I t_FLL f:'F,_E FH+_IL
U002
F. 1 0002
ADJACENT RWARZAN PROPOtTYOWWM ST -r
(FOR A PIERIMOORING PILINGSIBOA7Lr7IRoA2,riroVSg)
I hereby certify that I own property adjacent to ' *' * ' iI s I
(Name of PrPertY Owner)
ProPerty located at
BIftk, Read, etc.)
on P►3aad It _+- in �� ! c L- i 9 N.C,
(Town and/or County)
He hzs d=ribed tO MC, as shown below, the development he is pressing at that
10=tion, and, I have no objections to hi.3 propoul. I understand that a pierimoorin,g
pilings lboadi Wboath ouse most beset back minimum distance of fin feet (151) from my area
of riparian ass unless waivea by sae_
wish to waive the setback requirament-
I spa wish to waive that setback requirement,
_— ------ ---------
DESCRIMON ON AND/OR DRAWING NG OF PROFOSED DEVELOPMENT -
(To be Jlled in by indlv&ual preposiAg doveloprnera)
r PILOW
'TtT o
C 9 o o�r-
(i+:R
ULtGhi-op
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*`gna
b
Print or Tyre Name
l ) - Ivy
Telephone Number
Date: !i . 1 �'� �

ADJACENT RIPARIAN PROPERTY OWNER STATE'MUNT
(FOR A PIERIMOORING PILINGSIBOA7LIFT/BOATHOUSE)
I hereby certify that I own property adjacent to ViGf C,'Fe 1 it �.. 's
(Name of Property Owner)
property located at p$' ,y FW n µ -T (A01,1- B Ju J ,
(Lot, Block, Road, etc.)
on NSoin 1 , � RL , in h3Fw 117C-0jit azwuEL) , N.C.
(Waterbody) (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/mooring
pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (15') from my area
of rip access unless waived by me.
7
I do not wish to waive the setback requirement.
I & wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
JII &'van lZ.�ti�
fi rlow
C npoN fL 4
P
JixuR
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--------------------------------------
Si
gnature
L4Done,
Print or Type Name
Telephone Number
Date: `'t _ 1 0 " V 0