26644_JENNINGS, DAVID & PAM_20000830

CAMA and DREDGE AND FILL44..,
G E N E R A L
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
Applicant Name Phone Number
Address
City State zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION SKETCH
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Pier (dock) Length
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m
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Groin Length
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number
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Bulkhead Length
max. distance offshore IFF
fft
Basin, channel dimensions
,
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Liz:
cubic yards
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Boat ramp dimensions
other
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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.
issuing date
applicant's signature
permit officer's signature
expiration date
attachments
application fee

MEDFORD CONSTRUCTION
802-B NEUSE DRIVE 252-635-5242
NEW BERN, NC 28560
PAl' R) I'HE /�
qj ORDER OF- -D
�LL i C�entura Bank®
,.vtd S er. c m"'o
111AS
MEMO,---
1:0
66-85/531
2341
9001 0390016285
nniE �`-�d off
28511'
DOLLARS El
N.

Name of Individual Applying For Permit:
Address of Property: /O a C'rPsf p
(Lot or Strett r, streetor Roa , City & County)
I hereby certify -that I own property adjacent to.the above -
referenced property. The individual applying for this permit has
described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions,
should be provided with this letter.
eve no objections to this proposal.
rJ1VqU;A:W-i•
I understand that a pier, dock, mooring pilings, breakwater, boat
house, lift or sandbags rust be set beck a minimum distance of 15,
from ry area of riparian access unless waived by re. (If you wish
to waive the satback, you znust initial the appropriate blank
below.)
S icrn to a
Pr n
Teiephcne
i
I do with to Naive the 15'setback requirement.
I do not wish to waive the 15'setback requirement.
Nuiuber With Area Code

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MEDFORD MARINE CONST.
P. Oa BOX 35%
NEV BERN, NC 28.564-�Y55fi►
W 635-5242 - FAX [phone]

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Dram of individaal 4VIyi2q For ftrait u � �w �.,'d � � , � ��agso
hddrrr dt ft"Wrtyl ,fir,
x hereby certify , that I cvn Fr'apeft7C adjacent to the abovee-
rsfum eed propgrty. the i"IVIA4e1 applyinq for thl i pereit her
dtmeriberd to vA an ehavu an than st.ta shed dteving the development
they are propoeting. h daimeription or driving, vith dimnsiww,
shovId be provid6d vitb this letter,.
t have no ob!Autiaaa to this propesui.
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hn►mn.-4-IT —a—i Sandhwa:_._nur ba- Mt! back a Sinjimm distar #Di
below.)
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MEDFORD MARINE CONST.
P. Q. BOX 3556
NEW BERM, NC 28%4,3566 635.5242 • fAX (252) 635 t
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