HomeMy WebLinkAbout25566_BLEVINS, DENVER_20000511CAMA and DREDGE AND FILL r
G E N E R A L'
PERM I T d"_
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
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
applicant's signature
permit officer's signature
issuing date 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 Ij
ORDER F
4 G� -
&TRIANGLE
ASK BAN K New'B em NC 28560
FOR 41&-)rl4' -
II'000032271I' 1:0531118521:093100
3227
66-11651531
DATE 5'" I � 00
$ SO °-'
DOLLARS
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Customer Job Requiretment Worksheet
Customer NameDate LA -a\ - i)o
Mailing Address ,La) L0. (� I�Pz-cam � �c��ob site Address Cc '
PhoneQ>Q -1 c )-� ,� a-j j Fax#
Adjecent Property Owners
Left side �{�� 11 Right side
Date Mailed4 eturned S - Date MailedReturned
Cert. Mailed Returned
State (CAMA)_
City
County
Fairfield Harbour
Bulkhead 6 'L-_/ j
Dock
Boatlift
Jettie
Cert. Mailed Returned
Permit Required
Recieved
Recieved
Recieved
Recieved
Job Type
Boathouse
Jet Ski Lift
Ramp
Piling
I hereby om ify that I own property adjamnt to
Ejj • T) FN0. 's property located at
(Name of Anetty Owner)
e el x4aafl � n
(I.,ot, Block, Road, etc.)
as Rc� So U in 64•r.4 76 , NC
aterbody) (Town and\or County)
Ire has described to me, as shown below, the development he is proposing at that location,
and, I have no objections to his "oral.
--- --------------- -------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVEIMMENT:
(To be filled in by individual proposing development)
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Signature
Print or Type Name
Telephone Number
'00-05-10 16:14 RICHMOND V.R.
P.1
113 10 yin 08:22 FAN
r� aa4c ~r o
I has* as "that t own pcapeaq of jsmew to
r 's mpa ly heated at
M.
• ram. i V u _
�. • • • • f • ♦ I • If
I36 In &wmg ed to trm, to shown below, the d+evelo he is P'c'opmina •t that locatian,,
md,I bNo no objeetkt to Wo p upoW,
D138CRI MON AND/OR DRAWING OF PROPOSW DBVH nVMENT.
(To he tilled in by individual proposing drvatvpmm )
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