28812_COLLISON, WILLIAM_20010806

41
CAMA and DREDGE AND FILL
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
Address
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION
Pier (dock) Length
Groin Length
number
Bulkhead Length
max. distance offshore
I Basin, channel dimensions
cubic yards
I Boat ramp dimensions
Other
Phone Number
State ;;,,. �$. z i p
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.
applicant's signature
permit officer's signature
issuing date expiration date
attachments
application fee

SIEVE MULLEnI IV,LL/4111 COLLISOAi 3270
FOLEY & FOL CONTRACTORS, INC.
PH. 252-636-2516
1810 OLD AIRPORT ROAD
P.O. BOX 3482
NEW BERN, NC 28564 / J ( 66-85/53i
DATE
PAY
TO THE , l
ORDER OF�
DOLLARS 8
Centu'B
NC 28560
FOR ew B r , ["-� ( --- - -. c- - - _ qq
1. ?�--' -- --- - -- ------ --Im
I 1Vjj�--
II' 000 3 2 701" 1:0 5 3 1008 501:0 3 90 -S-2 Oil' -
..

4.
TO: Scott Jones (Cama)
Fax#: [phone]
Date: 7-23 -01
Page#:3
From: Foley & Foley (Sandy)
Phone#: [phone]
Customer Work Sheet
Customer Name: William (Bill) Collison Date: July 23, 2001
Mailing Address: 4706 Mullen Rd. Job Address Lot#
New Bern, NC 28560
Phone#: [phone]
Adjacent Property Owners
Left Side: Mullen Right Side Wallace
Job Type Description
M.
Dock/Walkway
Plantform end of dock
Boathouse
Boatlift/jet
Piling
Ramp/Jettie 24
I
Rip Rap Adding

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/MOORING PILINGS/BOATLIFIYBOATHOUSE)
I hereby certify that I own property adjacent to�;�_����
Nun of YYapecv (aAVk")
property located at y) o j
A, Block, Road, etc.)
on iC% a.1tryErt , in 1t/� oaE N ' C�F.� , 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 nd objections to his proposal. I understand that a pier/mooring
pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (151) from my area
of riparian cess unless waived by me.
I no wish to waive the setback requirement.
10lq wish to waive that setback requirement.
---------------------------------------------------------- =---------- ---------------------------------------------
DESCRI.PT'ION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
``` N9v1 �' U ,rk Fly'
ter; k
PL_
(�3C-�7/o
P ' Type N e /
r
elephone Number
-711EDate: cl

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGS/BOATL1FT/BOATHOUSE)
I hereby certify that I own property adjacent to (J;�j,;r,, Ill. 13
(Name of Property Owner)
property located at Y) o d
,ot, Block, Road, etc.)
on ELF ✓�' �► �F�rc , in �If,C.� N C• C E� , 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 rf6 objections to his proposal. I understand that a pier/mooring
pilings/boatlitt/boathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
a
rt
41
I -dno wish to waive the setback requirement.
I OQ wish to waive that setback requirement.
DESCRIPTION ,AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
1P P.
i 1 S�w
obi e461-
1 S�
1
lil2l&'
Signature
- ---------
Print or Type Name
Z� - 6 3 � - /5--7�
Telephone Number
Date: 7-- /l C>