27809_HARPER, JOHN_20010409 (2)

your project is subject to the NC Division of
rJater Quality Neuse River Buffer Rules due
CAMA and DREDGE AND FILL to its location within the Neuse River Basin. NY c+� / r� �� n _C
G E N E R A L please contact Deborah Sawyer at 1V • �J
252-946-6481 C,EAJE�p (o.
P E R M I T G95 F LE ice.
as authorized by the State of North Carolina 14,7-> 4 C:c RkSA
Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC 0-1 t-t-. I2d::)D
Applicant Name L-�)2 .--,"-t� Phone Number 3C,1- (oct • 'Zo9q
Address -I50 QoPitz i �
City State I"r Zip z-013 17
Project Location (County, State Road, Water Body, etc.) CQMet-1 A DIc CaAT To s ib G2.
C A-NPct_ Sy,6%m A-r lar "61- SecnflN ;Z- CAKbiAtt 1-Ri? 7ftie7,r IAA Z tJ� het -r
Type of Project Activity F�r )c -7 Ftr, !Pt El- Ta A (pry x 32 F.r. Pc.P► T,M h+a D
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
b-744 OcD
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attnrhmr ntt
application fee

MEDFORD CONSTRUCTION
802-B NEUSE DRIVE 252-635-5242
NEW BERN, NC 28560
pa FAY TO THE
I _ ORDER OF_
1
66-85/531 2712
0390016285
DATE Id -q I
I $
--� DOLLARS
Centura Bank®
�IC� New Bern, NC 28560
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UNITED STATES POSTAL SERVICE
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
new ��Zs/

■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
&?-q 0 le- ma
-1 T--8n rv_, I �
(.,06,6 Coftq-� r vj rzr,
NW fin, n C. Z�95lpo
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vice type
Certified Mail ❑ Express Mail
Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number (Copy from service label)
r1mg -a LA an cc) i j 0G9 a + ti
PS Form 3811, July 1999 Domestic Return Receipt 102595-00-M-0952

we 1/3'
f • • f y� j �
Name of individual Applying For Permit: or. Hgrger
Address Of Property: L.4 # SA Fr"
(Lot or Street 1, Streetor Road, City & County)
I hereby certify +that I own property adjacent to.the above -
referenced property. The individual applying for this permit has
described to me as shown on the attached drawing the development
they are proposing. P_ d-escription or drawing, with dimensions,
should be provided with this letter.
.I have no objections to this proposal.
AAIBER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boat
house, lift or sandbags must be set back a minimum distance of 151
from Iry area of riparian access unless waived by me. (if you wish
to waive the setback, you must initial the appropriate blank
below.)
I do wish to waive the 151setback requirement.
I do not wish to waive the 151setback requirement.
e"
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Signatura Dalte
(5g. vAICLLS'
Print Name
6 .S�- 4 6 /3
elenhcne Number with Area C
e

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MEDFORD MARINE CONST.
P. 0, BOX 3556
NEW BERN, NC 265W3556
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