24823_FRY, JANET_20000228

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CAMA and DREDGE AND FILL JW
G E N E R A L 24823
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
PROJECT DESCRIPTION SKETCH
Pier (dock) Length
Groin Length
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
State
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.
Phone Number
Zip
C�•` �� '7Z
issuing date
(SCALE: )
applicant's signature
permit officer's signature
expiration date
attachments
application fee

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MEDFORD CONSTRUCTION 0931000210
802-B NEUSE DRIVE 919-635-5242
NEW BERN, NC 28560 DATE
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Name of Individual Applying For Permit! -Tr.7r F
Address of Property: 6 5'6 S c ,
(Lot or SEresE 1, Street or Rod, City & County)
I hereby certify that I own property adjacent to.the above -
referenced property. The individual applying for this permit has
described to rile as shown on the attached drawing the development
they are proposing. P_ description or drawing, with dimensions,
should be provided with this letter.
cT�' I have no objections to this proposal.
I understand that a pier, dock, mooring pilings, breakwater, beat
house, lift ar sandbags must be set rack a minimum distance of 15,
from zy area of riparian access unless waived by ze. (If you wish
to waive the satback, you must initial the appropriate blank
below.)
'4&9, I do wish to waive the 15'setback requirement.
x I do not Wish to waive the 15'setback requirement.
j
Signature Data 1 • e
Print Name
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Telephcne Number With Area Code

MEDFORD MARINE. OONST.
P. 0. OW 3666
It v FERN, NC n5"am
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Name of Individual Applying For Permit:
Address Of Property:
(Lot or StMet 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_ description or drawing, with dimensions,
should b provided with this letter.
X I have no objections to this proposal.
AAI Ea JJGJ1ON
I understand that a pier, dock,, mooring pilings, breakwater, boat
house, lift or sandbags must be set back a minimum distance of 15,
from nG_v area of riparian access unless waived by we. (If you wish
to waive the setback, you VlL= initial the appropriate blank
below.)
I do wish to waive the 151setback requirement.
I do not wish to %traive the 151setback requirement.
n
Pr Pn Nave
Teiephcne Number With Area Code

MEDFORD MARINE CONST
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