HomeMy WebLinkAbout24437_MONAGMAN, JAN_20000104Z
CAMA and DREDGE AND FILL
G E N E R A L 4437
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 (SCALE:
Pier (dock) Length
Groin Length
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards
4 _
Boat ramp dimensions
Other 1
i
I nis permit IS SUDject to compliance wnn Lnls application, site arawing
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
i
—applicant's signature
permit officer's signature
expiration date
attachments
application fee
3467
r01 rY FOLEY CONTRACTORS, INC.
PH. 252-636-2515
1810 OLD AIRPORT RD.
,
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P.O. BOX 3482
NEW BERN, NC 28564
66-1185/531
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SENDER:
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■ Carnplate Hems 1 ar2Nor 2los add0lonal services.
■ Gamplale Nests 9, 4a, and 4b.
Wowing services for an
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■ Print your nema end address on the revDrse 01 thL9 lone so Thal we
can return this
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■ Atmch 1 ds ronn to the tront ❑t the rnulprace or on the back d space
does not
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7. Date of Depvery
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5- Received By: (PnM Warne)
13. Addressee's Address (Only 1f requesW
and fee is paid)
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Ps Form �, b test i s i i 1O�s�B 0� DoMiestc Retum Receipt
11
01/02/00 01:05 FAX
APM—CM—T-MAMN PROPERTY OWNER Sxa'IshOrrr
I hemby off* that I own property adjaomt to
prOpfftylocated at
(Name of Proms y et) I-
I S ENU ITT" e,
(LA Block, Road, ete-
on (Wateabody) ' in -- , NC
an county)
He Las desxtbed to tue, as shown below, the developmqnt he is pmposing at that location,
o.ud, I have no objections to his pmposd
DBSCREMON AM/OR DRAWING OF FRoPOSBD D$VHWpMBNT:-----------
(To be filled in by individual Proposing development)
ell
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Print or Type Name
SZ- Is - 9/09
Telephone Number