26642_HUEBNER, ED_20000809

CAMA and DREDGE AND FILL
• 26642 :
G E N E R A L
PERM IT`
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 >:_.
Applicant Name Phone Number
Address
City State zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION SKETCH
Pier (dock) Length r
Groin Length
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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 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
y
permit officer's signature
issuing date expiration date
attachments
application fee

MEDFORD CONSTRUCTION 66-85/531 2298
802-B NEUSE DRIVE 252-635-5242 0390016285
NEW BERN, NC 28560 �_
DATE
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ORDERER OF /V
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New 1krn, NC 28560
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Name Of individual Applying For Permit: 47c4•, 6to..6're -
Address of property: L th i ;- nr, cf:10 f4
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, city
I hereby certify 4 that I own property 1 adjacent to the above --
referenced property. The individual applying for this' permit has
described to sae as shown an the attached drawing the development
they are proposing. A description or drawing, with dimensions,
should be provided with this letter.
a� I have no objections to this proposal.
I understand that • pier, dock, mooring pilings, breakwater, boat
house, lift or sandbags must be set back a minimum distance of 15
from my ar*s of riparian access unless waived by we. JIf you wish
to give tha setback, you M= initial the appropriate blank
belov. )
I do with to waive the 15'setbtck requirement.
I do not wish to Waive the 15'setback requirement.
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Ttlephene Number With Area Co a ����

Nang of individual Applying For Permit: • ,Ter•7 1VdP .bOe,-
Address of Property:
s
I hereby cartify 4 that i own property adjacent to the above -
referenced propgrty. The individual applying for this' porzit has
described to me as shown an the attached drawing the development
they are proposing. A description or drawing, with dinensions,
should be rovided with this letter.
r I have no objections to this�propesal.
I understand that a pier, dock, soaring pilings, breakwater, boat
house, lift cr sandbags teust be met back a nininum distance of 15k
from xy area of riparian access unless waived by aye. (Z.f you wish
to Waive the satback, you Zaat initial the appropriate blank
below.)
I do wish to waive the 151setback raquiresant.
_,4FY wish to Waive the 11'setback raquirouant.
Te ep cna Humk:at With Area Coa-4-
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