12160_TRUBINSKI, CHESTER_19940317

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CAMA AND DREDGE AND FILL P,4 Syr
GENERAL
PERMIT CC I
as authorized by the State of North Carolina
`I Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC % H // (' ,
Applicant Name Phone Number X l' 3 2 %
Address
City State Zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity f%
PROJ ECT DESCRIPTION
Pier (dock) length _
Groin length
number
Bulkhead length ! k
W''max. distance offshore
"Basin, -channel dimensioP,
cubic yards
Boat ramp dimensions
Other
SKETCH( —
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 be-
come null and void.
This permit must be on the project site and accessible to the
permit officer when the project is inspected for compliance.
applicant certifies by signing this permit that 1) this pro -
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: ,} _ )
V,, +�*1
applicant's signature
permit officer's signature
issuing date expiration date
attachments
application fee! j
i
i

FOLEY & FOLEY MARINE CONTRACTORS, INC.
PRIMARY CHECKING WACHOVIA BANK
OF NORTH CAROLINA, N.A.
PH. 919-636-2515 NEW BERN, NC 28560-1677
POST OFFICE BOX 3482
NEW BERN, NORTH CAROLINA 28564-3482 66 763 531
PAYFifty and no one/hundredths DOLLARS*********
TO THE
ORDER
OF: D.E.H.N.R.
(CPC-l-2I�p
c.. �- Rv,So � N �k►
II1000066 1311, , 1:0 5 3 LO 76 3 31:
6613
DATE AMOUNT
03/17/94**********$50.00/100***-
5806 00090 711■
' ,_-7-I�VO SIGNATURE!*) REQUIRED

ADJACENT ItYPARYAN PROPERTY OWNER STATEMENT-
i-r•: er t!3rxRt Y wpairr:. ,.:' .. •.+ 1:. rti.a'�i'4j'r ,;. 'ram- _._.
'I hereby.certify. that. I own property adjacentt
_ w� �•
go( i 's propexty located' -at
.� . -:,(Name ..of. Property., owner) �.
l�fi, �Y•i •�� aid:' ar,' .. A�.I � ,• •.• ,. :. .-....• f
�: .in�.s. j1.(• . • it 12 �L.1 .. (�C..J : [•JI'/v7 T_ ._ -
�;. (Lot, Block, Road, .etc.)
(Waterbody)1 (Town and/or.•County)
has'described tome, as shown below, the development he is•
ra osi at that "location and; .T have no. ob ections ' to his
n j
p P 9.
• proposal.
----------------------- --------- ------------------ --__
DESCRIPTION AND/OR -DRAWING OF PROPOSED DEVELOPMENT;
(To be filled in by individual. proposing development)
Print or Type Name
/ = l -7
Telephone Number
' Date
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.'SURVFY FORt"
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NVMFIER 2 7OWNSH? PAMLICO (Q4JNTY NX..
SURVEY BY., W.E. MATTHCw', A L S
rr JAMIARY 15. 1994 SCALE: 1*= 40,
CD
FOR AMPENCE SEE DECD BOOK M PAGE tt')
ANLI 'DEED BOOK 235 PACE 501, FOR RE->TWCllvE
COVENLAPTS, ALL PAMLICO Co., N.C. RECISTR'f.
KING kL OF LOT 12 OF THE NLUSE W'INPS
SUODMr,1044, AS SHOWN IN PLAT C-ABIllEt A-.
SLIDE 43-7, PAMUCO CO.. NORTH CAROUNA PiGISTF.r.
40' 401
SCALE- 1 4 6'
CER11WATE Of SURVEY ANO ACC12FKA(,y
Q%LKLlqktl�Lj CCROFY THAT *41S MAP WAS
DRAWN UNDER LAY DIREC.PON MID SUPERVISION
EIP FROM AN ACTVAL SURVEY OF LAND. Wili,:EsS, My
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DAY OP
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AHD THE fxtV;noN OF Tilt FOREGOINO
wsrRVWENT. *1114(SS Uy flAND AND OFFIM.STAMP OR SEAL,
T)IIS. xl—DAY of
7C)3 WINTERGREEN R04n
PJAIEU - NOTASY PuSM. COVE CITY. NC 78523
PH. 919 637-7070
VIC04TY MAP R.L.S. i L-1282
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FOR REFERENCE SEE OECD 130OK 250 PACE f.69
AND 'DEED 800K 235 PACE 501, FOR RE5TR!ClJVt
o COVENAt+TS. ALL PAA:LICO CO., N.C. REC45TRY. j
8£ING AU OF LOT 12 Or THE NEUSE WINDS
SUGOWIC30N, AS SHOWN IN PLAY CABINET A'.
SUDS 43-•7. PAMUCO CO., NORTH CAROLINA PSr.;ISTRr.
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SCALE- 1" =%! 0:.,
CERTIFICATE OF SUPrvEY AND ACC! IRAT:Y
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I THAT'THIS -MAP WAS
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DRAWN UNDCR MY D1RECifON MID 'SUPERA570N
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EIP FROM AN ACTUAL SURVEY OF LAN(), WITNESS MY
HAND AND SEAL TH15 THE t9
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REGISTFPE IANp SURVEYOR
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ar• '' �,/ CERIVY THAT i 1 �. A REGISTER MID SUK.RMR, FEPSO�l .L'� AF'F BEFORE aE TH+S DAY
AO ACKNOWLfOGED THE tXtC+ITTON OF THE FOREGOING
Ul5TRULIENT. *lTN(S$ Uy tKND AND OFFNL.STAWP OR SEAL,
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NOTARY PUBLIC
rCNITy MAP
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703 WINTERCREEN ROAn
COVE CITY, NC 78523
PH. 919 637-7070

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