27912_FOLEY, JACK_20010508

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CAMA and DREDGE AND FILL
G E N E R A L -� � 279la-`-
R M I T
P E
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
PP ' �=
Address
City State r ' Zip yC.>
Project Location (County, State Road, Water Body, etc.) i
Type of Project Activity
PROJECT DESCRIPTION SKETCH (SCALE: �; )
Pier (dock) Length
Groin Length
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other 1
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.
issuing date
applicant's signature
t
permit officer's signature
o
expiration date
attachments
application fee

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COASTAL MARINECONTRACTORSINC
PO BOX 12729
NEW BERN, NC 28561-2729
PAY
TO THE '
ORDER OF
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d Ii�ile.© .
6033
66-112/531
DATE Q b
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_DOLLARS
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BRANCH BANNINO AND TRUST COMPANY KIP
NEW BERN, N TH CAROLINA
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05,r02/2,Q01,15:04 FROM SAWS UNLIMITED_ TO - 12522493537 ---- ---------- E,QL-
- - -- - - - - - - - - - - - - - - - - - - - - --
02 01 02-17p Bob & Missy Baskervill 252-249-3537 P.
ADJACENT RIPARL-A.N PROPERTY OWNER S fATEMENT
(FOR A PIER/MOORING P2MGSIBOATLIFFINOATROUSE)
I hereby certify that I own property adja=t to s
(Name of Pr4erty Owner)
property located at I)LI)IR 1 ''-c 1 LC 11—k 5--t
(Lot, BB' ocI4 Road, etc.)
on 'IA16: in p N.C.
(Waterbody) (Town and(oq County)
Re W described to me, as shown below, the development he is proposing at that
location, and, I have no objections to his proposal. I understand that a pier/mooring
pilings/boatlift/boathouse must be set back a miniz.-lum dis*z-i-- of fif=n feet (15') froni my area
of riparian access unless waived by me.
I do vot wish to waive the setback requirement.
I dg wish to waive that setback requirement.
DESCRIMON ANINOR DRAWPiG OF PROPOSED DEVELOMIFdrT:
(To he JUled in by individual proposing develnpmenlf)
��,Te—Y, e�?
Print or Type Name
X4'A -S,2,Z - /A 7
Telephone Nuraber
Date: 4R 0 /
—-
TOTAL P.01

JOHN BUCK BCG 919 9.68 3634 P.01
Ma' 03 01 02:43p Bob L Mis5y Ha5KervILL
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIEWIMOORING PILINGSIROATUFTMOATHOUSE)
�
I hereby certify that I own property adjacent to Jack v 1'e'l 's
(Naxue of Pro&rty Owner)^
property located at ])oa, +v
(Lot, Block, Road, etc.) _
on P in � tee �F �- i C, p , N.C.
(Waterbody) ('Town au&o 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. I understand that a pier/mooring
piling slboatlift/boathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me,
vriI do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCRnynON AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To he JWed in by individual proposing development)
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rayr, _ 3 537
'2H
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or ,
F1f1 rkof
Prinn'WType Name
LAO 1
Telephone Number
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