HomeMy WebLinkAbout24819_BRYAN, ANN_20000303CAMA and DREDGE AND FILL
G E N E R A L$9-�
hdPERM IT
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 7
i
\v 1 applicant's signature
- permit officer's signature
issuing date expiration date
attachments
application fee
COASTAL MARINE CONTRACTORS, INC. 5425
P.O. BOX 12729 PH. 252-638-6407
NEW BERN, NC 28560
PAY DATE 66-112/531
(/ CJ
TO THE T $
ORDER OF �/ l_. fy /�
01901 BB&T
R DOLLARS 0���,,,.,
eRANCN eAN N iNO wNo iwU9T COMRANv
375 SOUTH FRONT STREET /
. r NEW ,BIERN, NC 28560 (�'
FOR F ENLqL f Ajy/yb _
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1150000S42SI'' l:OS3lO1121l:Sil0li2698ii'
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIERI MOORING PILINGS/BOATLIFT/BOATHOUSE)
I hereby certify that I own property adjacent to s
(Dame of Property Owner)
property Iocated at 56 ` W"}
(Lot, I
oaf c re-_ k
Road, etc.)
a
on 1114 Y'0 e0 C' e { in j rP Lc./60q -; r
� '9v,6i1J 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 do wish to waive that setback requirement.
-----------------------------------
DESCRIPTION AND/OR DRAIVEIiG OF PROPOSED DEVELOPINIENT:
(To be filled in by individual proposing development)
( 14,q ywovd Cr-e e k
----- ----- ---- --
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Signatur
Print or T peN�ame
1JP 6 ( 2 7 5 % _
Telephone Number
Date: 'J / --) �— 0")