27028_MAESTRIPREIRI, LEO_20001206

CAMA and DREDGE AND FILL 62�
G E N E R A L
2'�028—s ._
PERM I T
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 ' ' �—.) ��Et r�Mt_'"' Phone Number
Address ►�.�(ae �'�
City State " a zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION SKETCH
Pier (dock) Length
9�1� iT
ly
J4
��
G5
(SCALE:
i
—
=
)
_
r
r
Groin Length
number
Bulkhead Length
max. distance offshore
t
Basin, channel dimensions
i
-
cubic yardsAr—
'�
Boat ramp dimensions
Other
r
°
a
N_
77 -,
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
permit officer's signature
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
PAY
TO THE
ORDER OF
3678
66-1185/531
_i $
,_... ,. , ,. ism 1
0
11
�AkTMANGLE liwy.o� M111-111,�„ .., , ff pu, DOLLARS �a
—�\ BANK New Be-, NC 28560
FOR
11'0000 36 7B11' i• --
.0 5 3 1 1 18 5 21.0 9 3 1000 16011'
--�

Customer Job Requiretment Worksheet
Customer Name Lf.Q�y,4KI k CJr G� Date � g- W
Mailing Address �� 1 jr, -V�(`, Job site Address k�C-�d
Adjecent Property Owner
Left side "�� Right side
po C-c-e- I(\ ��\ X,
Date Mailed Returned
Cert. Mailed Returned
State
City
County
Fairfield Harbour
Date\Mailed
Cert. Mailed
Permit Required
Recived
Recieved
Recieved
Recieved
Returned
Returned
Job Type
Bulkhead\� ,y I " cio�� Boathouse
Dock r Jet Ski Lift
Boatlift Ramp
O
Jettie Piling
Dredge Repair

I hereby certify that I own property adjacent to
K D M A F. S 2, o R E r a) 'a property located at
(Name o )
J P. 1L . / 1 , v
(Lot, Block, Road, etc.)
on l�� - t�7 , in w F.v 13&eA), ci�qC)F J , NC
(Waterbody) (Town andlor 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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
S�/Z
Signature
Print or Type Name
Telephone Number

it �• .. Up -N• V 1V
I het+eby oft* that I own p mpexty adjacent to
'9 paopexty located at
(Ndta6 Property )
n
(Lot, Block, Road, etc.)
I
on l �,3 ,
in h) F.v 13�, �J --, NC
(Wad) (Town imtw ' County)
ire W dead='bed to me, as shown below, the development he is proposing at that location,
and, I have no objections to his pe<vpoNd.
-- DESCpjM10N AND/OR DRAWING OF PROPOSED DEVEWPNUM:
(To be filled in by individual proposing development)
S�A
, r`'1 r
A � '
Print or
PCV
rint
z 9i
Telephone Number

12/20/00 10:44 FAX
Z01
?� I
ADJACENT RIPARIAN PROPERTY OWNER STA mwEN'.I'
(FOR A PIERIMOORING PILINGS/BOArLrpT1B0ATX0USE)
I hereby certify that I own property adjacent to Lgd � e1 ,zg7 's
(Name of Pr etty Owner)
property located at 3 SSA e
(Lot, Block, Road, etc.)
1 in F-4W 0 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 no- objections to his proposal. I understand that a pier/mooring
pilinga/boadift/boathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
I d9not wish to waive the setback requirement.
I e-Q wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
MREM,pon,
�,
a'7y
S
p"
R ►
p�
0
M
�-JrrortR
�04 ,
6,.?l �c i 1 AY E
Print or Type Name
Telephone Number
Date: