25524_MAYER, RUDY_20000510

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CAMA and DREDGE AND FILL
G E N E R A L � `���� P I T
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 1 ro
PROJECT DESCRIPTION SKETCH
Pier (dock) Length
Groin Length
4,
. +
l
Z
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
x
cubic yards
Boat ramp dimensions
J_.
_....
Other
t<
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

FOLEY & FOLEY CONTRACTORS, INC` .
' PH. 252-636-2515 3224
j; 1810 OLD AIRPORT RD.
P.O. BOX 3482
NEW BERN, NC 28564
PAY
TO THE � - �U 66-1185/531
ORDER OFF- DATE
d o --- �J
�--- C� '�'p_ � _ _ � 1 CEO O O
I�IATRIANG _ —__DOLLARS
.�A\ BANK I 70 ��m,1u
Newew Hem, NC 28560
FOR��
I,l00 03224►.:05311L85209 - --
016 u• -__

Customer Job Requiretment Worksheet
Customer Name Date LI-h—��o
Mailing Address�(r��� \ Job site Address_
PhoneQS�) — ��� c - �� Fax#Q7r, —� C2�—J � � j
Adjecent Property Owners
Left side�ti�Z \�} �F,,_) Right side�(�j 'aL �jV, I
. �_ � .lam •.
Date Mailed - 7-CC)Returned
Cert. Mailed (10) Days
State (CAMA)_
City`,\\1e�"A
County �
Fairfield Harbour
Bulkhead
Dock��_
Boatlift e—
S
Date Mailed /7-0�eturned,�-J-6to
Cert. Mailed (10) Days
Permit Required
Recieved
Recieved
Recieved
Recieved
Job Type
Boathouse
Jet Ski Lift
Repairing Dock Bulkhead

°'.----�- ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to m d' %l A/ 's
(Name of Property Owner)
Property located at _ A 6 r'A' , Ole, (f, ,
(Lot, Block, Road, etc.)
on 1 Q i 2,�, �,
in JJ £,,c d iz.� ,Cgy r,-0 I Ck .i- , 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 riparian access unless waived by me.
y' I do not wish to waive the setback requirement.
I dQ wish to waive that setback requirement.
- ------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
.�� t Z (To bt Iled iny individual proposing development)
i3�aT�,fi1
a�
e L , /Ale - `pL-
---------------------------------------------------------------------------------------------------
Signature
�J.tJ BAun�6�9�t��tJ�
Print or Type Name
Zsz 63g - 8 C 2-
Telephone Number
Date: /-2- &-lc2

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to ' Jy m Fes' +s
(Name of Noperty Owner)
Property located at l a d r"t-_
(Lot, Block, Road, etc.)
on .� in R1 C ,LAv r,-il !fit%. � , 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
pilirtgs/boatlift/boathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
_ V� I do not wish to waive the setback requirement.
I dQ wish to waive that setback requirement.
--------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To bi Ited in 4y individual proposing development)
41 ,� • a
e >~
1'0'
----------------------------------------- -- - ---------- --- -----------
rei i�
Print or Type Name
S_
Telephone NuT1'_9
er
Date:
L�

APR,11,2000 10:27AM MOEN NB MATERIALS
NO, 7322 P, 1
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