27816_MAIDES, NELLIE_20010420

CAMA and DREDGE AND FILL CR)
781£-c=-
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
State
Phone Number
zip
PROJECT DESCRIPTION SKETCH (SCALE:
T
Pier (dock) Length i .
: ;"
j ► (
t, £
..
3
—
L
.
j,.mM
1.
.....Z ..
Groin Length
Y
number
'`
I_
Bulkhead Length
i
max. distance offshore
Basin, channel dimensions
cubic yards
►
Boat ramp dimensions
i
h
Other
g.
This permit is subject to compliance with this application, site drawing
and attached general and specific conditions. Any violation of these terms
--r applicant's signature
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
issuing date expiration date
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.
attachments
In issuing this permit the State of North Carolina certifies that this project
is consistent with the North Carolina Coastal Management Program.
application fee

FOLEY & FOLEY CONTRACTORS, INC.
PH. 252-636-2516
1810 OLD AIRPORT ROAD
P.O. BOX 3482
NEW BERN, NC 28564
PAY
TO THE
ORD F_ I --- -- - - —
3016
/-[
66-85/531
DATE-
$ /00 , od
-- -- - - - ---- - DOLLARS 8".,� .�
Centura Bank®
• New Bern, NC 28560
FOR GiP'o%7�/l -- - —l•'
1100000 30 L 611' j:0 5 3 L008 50i:0 3 900 L 6 2 50li'

ADJAM T' RIPARIAN PROPMIT'Y OWNER STATOUNT
/ n \ (FOR A PIER/MOO,RIIVG P1LINGS/BDA7ZIF1'/OOAT'NOUSE)
I hereby certify that I own property adjacent to !C/ W/,e h'! , �Q;,� 's
�U\ (Name of Property Owner)
property located at h// v /*4dd►."n �)w k 1 4111,
(Lot, Block, Road, etc.)
-�
_ 19E / ty — , in -<J%--e-d Szii! /J a , r , 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
pilittgs/boatlift/boathouse must be set back a minimum distance of fifteen feet (15') from my area
of ri 'an access unless waived by me.
07 I do not wish to waive the setback requirement.
I dQ wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
'rived
a0'
12c r°,*411
'Ptlto
2F
i6-/4.
P�-
----------------------------------------------------------------------- -----------------------
�A� -
Signature
Print or Type Name
FAD
Telephone Number
a
Date:kli��kIZT7
M

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSIBOATZIFI'/BOATHOUSE)
I hereby certify that I own property adjacent to /V,6VII � 's
(Name of Property Owner)
property located at ,41 o e mog r
(Lot, Block, Road, etc.)
/ ZF l �`� s� ► in 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
pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
I do not wish to waive the setback requirement.
I wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
t/
2� yew• !fie !c
f�- Ito L-
I ��o�sr
_------------------------------------------------------------------------------------------ -- ---------------------
Signature
Print or Type Name
Telephone Number
Date: