25525_OHMER, KIM_20000510

CAMA and DREDGE AND FILL ;2,5525
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
PROJECT DESCRIPTION SKETCH - -
Pier (dock) Length
Groin Length
number
Bulkhead Length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
,}�1c2L� (agT�gtiiL
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
issuing date
(SCALE: )
applicant's signature
permit officer's signature
expiration date
attachments
application fee

::i'�}i:Y:_:1llY'i�--.'w �'.:itr.R. �S�Sv'i�1•. ' � �-
FOLEY & FOLEY CONTRACTORS, INC.
PH. 252-636-2515
1810 OLD AIRPORT RD.
P.O. BOX 3482
NEW BERN, NC 28564
3224
J PAY V 66-1185/531
TO THE \� DATE
ORDER OF
c) ° -
0 00
AA=RJANGLE - —
DOLLARS C]tz--
's\BANK New Hem, NC 28560
FOR �(�(� •ti--5. ,� \
II200 03 2241■ i:053 L L 185 21:09 L000 L6 �I■
�a-n�w-.pa�eumm^r w, nm
-� �r nmms�rt<on:..._� �_..mimxcr✓ein
- --- NP

Customer Job Requiretment Worksheet
Customer Name 1����Date
u-ao -oo
Mailing Address= ( O\li(- Job site Address
ag�ba
Phone# ��S - oS� L-0 Fax#
Adjecent Property Owners
Left side�t Right sideV,,���1:�� ` 1
Date Mailed�Returned Date MailedL��OC.iReturned�-0 0
Cert. Mailed Returned
State (CAMA)
City �, �\
County
Fairfield Harbour
Bulkhead
Dock
Boatlift
Jettie
Cert. Mailed Returned
Permit Required
Recieved
Recieved
Recieved
Recieved
Job Type
Boathouse
Jet Ski Lift
Ramp
Piling

,• ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSIBOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to o" E,c 's
(Name of Property Owner)
property located at 70 % CaQ,--_e 1110K 6km ddd 7iJw ,
(Lot, Block, Road, etc.)
on Xg kr ,7,5 J , cdwvari , 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 dQ wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
E
Print or Type Name
Telephone Number
Date:

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERIMOORING PILINGSIBOAZLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to V \%-� LV)D, i��_ ,s
(Name of Property Owner)
property located at
(Lot, Block, Road, etc.)
on��� \�'P , in , N. C.
(Waterbody) (Town and/or ounty)
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/bbathouse must beset back a minimum distance of fifteen feet (11J1) ,,r1—,,m my area
of riparian access unless waived by me.
I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
_________________
ignature
Print or p. Name
130-5P4-�zi
Telephone Number
Date: 5 / 00

707 Col) rt f�iAitba►r
A61 -7y
a7NL o
N. Oft Tyf2.
A)6,4 (SAt-3, Aa .
c2ma
Ark (o sG- JS7:r
AS7- (036 - JLil
CA Urc H 6 IZ V�tJK ' I ..
r1 o cJ
13
DoGA
fit
0
ROW6v01 Tirt�<< � �„Q�F�Q ogWrL4 a
Of
'10� Goc�lE I�BKf$a��,