12087_ERICKSON, LEIF_19931110

CAMA AND DREDGE AND FILL
GENERAL N°
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC
Applicant Name Phone Number
Address
City
Project Location (County, State Road, Water Body, etc)
Type of Project Activity
PROJECT DESCRIPTION
SKETCH
Pier (dock) length
I tom,
Groin length
number
Bulkhead length
* n a._1�;5.
max. distance offshore
Basin, channel dimensions
cubic yards
}
Boat ramp dimensions
Other
State Zip
,
(SCALE:
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i
I
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This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any 1 r
violation of these terms may subject the permittee to a fine, _ "'''
imprisonment or civil action; and may cause the permit to be-
�, applicant's signature
come null and void. /! Y
1 1jf
This permit must be on the project site and accessible to the permit officer's signature
permit officer when the project is inspected for compliance. _
The applicant certifies by signing this permit that 1) this pro- / / // / i /
ject is consistent with the local land use plan and all local issuing date expiration date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
objections to the proposed work. attachments /!
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee
Management Program.

FOLEY & FOLEY MARINE CONTRACTORS, INC. WACHOVIA BANK
PRIMARY CHECKING OF NORTH CAROLINA, N.A.
PH. 919-636-2515 NEW BERN, NC 28560-1677
POST OFFICE BOX 3482 66-763-531
NEW BERN, NORTH CAROLINA 28564-3482
PAY
i4„„r � ,� �.,.. t�tui �• , t I ,,., ,dnt) ,uut) t., .
DATE
TO THE 11-10-93
ORDER DEHNR
OF:
Z
G.P. Erickson
G Pc- Sao g 7 -
11'00006 2 2011' 580 0090 71'
s
6220
AMOUNT
$ 50.00/100
SIGNATURES REQUIRED

���ia�*ehbr.-ae3:a�'�i7r:sseeL—s:caa,.rr.xn' -+w: a
ADJACENT RIPARIAN PROPP.11Ty t7*MM STATEtHMT
I.:hereby.certify that I own property adjagent to
k R c ksa 's property. -located' at
5 ; (Name of. Property. Owner)
InddNr� Li�il
.fs;. (Lot, Block, Road, etc.) ,
n (Waterbody)-. (Town and/or County)
has''described to me, as shown below, the development he is.
proposing at that location, and,'.I have no objections to his
proposal.
-------------------------------------------------------------
DESCRIPTION AND/OR'DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by ind'ivi a1 proposing development)
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• ADJACENT RI PARYAN PROPERTY OWNER STAT
EMENT
I:hereby certify ,that I' ownproperty adjacent 'to
F R 1c. (Cs6y 's prope.rty: located at
(Name ;oE:: Pxoperty. Owner) .
,1^ 5- �►'l ram M-dc � A tj,
(Lot, Hlock, Road, etc.)
on o I vS1W in Fw - l3ek' C 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.
------ ---------------------------------------------------
DESCRIPTION AND/OR'DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by indivi al.proposing development)
41
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• ignature .
Print or Type Name
Telephone Number / ,
dF••, ,` Date
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