27000_FELDBERG, MARTIN_20001102

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Your project is subject to the NC Division f t��1
CAMA and DREDGE AN D FI LLof Water Quality Neuse River Buffer Rules
G E N E R A L due to its location within the Neuse Basin. y
PI eant ct Deborah Saw er at t� +
se co a y
P E R M I T 252-946-6481.
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 SKETCH
Pier (dock) Length F-.a
Groin Length
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
State
Phone Number
i
Thic ormit is cnhicct to r-mmnlianr6 with this nnnlication. 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.
zip
issuing date
(SCALE: ,
applicant's signature
permit officer's signature
®1
expiration date
attachments
application fee

FOLEY & FOLEY CONTRACTORS, INC.
PH. 252-636-2515
1810 OLD AIRPORT RD.
P.O. BOX 3482
NEW BERN, NC 28564
3601
66-1185/531
PAY DATE
TO THE F } h 1
ORDER OFI)
1V
I�TRIAN G LE
!�� BANK Hwy. 'B °m NC 28560
FOR
11000 60111, l:0 5 3 1 L LB 5 2l:09 3 L000 L 6011'
0
$ I)nd . Od
DOLLARS
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11/01/00 .11:18 FAX
Customer Job Requiretment Worksheet
Customer Name-������p� bate r U
Mailing Addrems �� . _-Job site Address
Phone# Fax#
Adjecent Property owners
Left side Right side
Date Mailed q-hD Returned��
Cert. Mailed Returned
State (CAMA)
City
County
Fairfield Harbour
Date Mailed -/a Returned -a 1
Cert. Mailed —Returned —
Permit Required
Recieved
Recieved
Recieved
Recieved
Job Type
Bulkhead Boathouse
Dock Jet Ski Lift
Boatlift Ramp
Jettie
Piling_

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11/01/00 11:18 FAX
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Of dpudaa S=mu mdM waived by no.
— I do Wish to wotivv 06 mdwk tegldtene"t_
-K N_ 1 d2 wish to waive "t new* tqwrwmm.
Tom
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