16358_FERRIS, EDWIN_19960702

-------------------
CAMA AND DREDGE AND FILL 0163$-c
GENERAL
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC !�%fi�• ��2r"�
x
Applicant Name L �`%M `S , fr• Phone Number �9''� �� d199
Address
City State NC Zip
Project Location (County, State Road, W�at/e�r,Body,�tc.)
e)
Type of Project Activity ��� �� ram. «
PROJECT DESCRIPTION
Pier (dock) length 12; k k
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other G 9
!
SKETCH
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 be-
come null and void.
This permit must be on the project site and accessible to the
permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that 1) this pro-
ject 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.
C- E Gt/,
(SCALE: , j/0,7.a—
r applicant's signature
permit officer's signature
issuing date expiration date
attachments 6 �//• 124 U
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee �a G�Pr
Management Program.

COASTAL MARINE CONTRACTORS, INC.
P. O. BOX 12729 PH. 919-638-6407
NEW BERN. NC 28560
PAY
TO THE � l
ORDER OF
3573
66-112
531
DATE
DOLLARS
O o `_ B_B&T
375 TRYON PALACE DRIVE
NEW BERN, NC 28560
FOR 6
n000003573ii' I:053LOLL21':5L10LL269B,"
_ - -_s..:_"diim7ic:=��„i2.�.�°,�4�if":++�3tmtez3»rn._>•-;-..nam�x�mi"..��s'«mdozavnri��:��_.�i�u�+�&�.rTn: ��aKafinecnim..: 'm�5�^,:.n�a�i �• _.¢nee-•.�n'�����m�cmmrc='.-r.-.^`°'w+�++�m'_"�.

ICO COUNTY BUILDING INSPECTIONS BAYBORO, N.C. 2�515
PUBbX 77G 'FAME I
..1 [phone]
(After this form is completed by the landowner proposing.the projec ,
a �qpy is. given to his/her adjacent landowners for their consent an
signatures. The forms are then returned, along with a building plan
and other applicable required information, to the Building Inspectidns'
office for building permit application/processing.)
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT EPN#
I hereby certify that I own property adjacent to
Is on
Name of landowner proposing development body of water
in/near �'i'�L1C Lot# 'f of applicable
community Subdivision, if
Tax Parcel #Z Q off SR Complete description of how to
locate this property:
The proposed project, a !�R , and the location has been
described to me as shown in the drawing below and I have no objections
to the proposal.
FOR A PIER, CHECEV ONE OF THE FOLLOWING:
I wish to waive the 15, minimum setback from my riparian access. -
DO NOT wish to waive the 15' minimum setback requirement.
Draw the proposed structure in the space provided below. List the size
of the structure and measured distances from the adjacent property
lines, other structures on the property, and the road, water, etc.
.lvr'�`.5' Z
,S'e/ °-/'7 "A/ /
k.
printed Name y//GG/,�����OGc� Date .g j Signature

I
COUNTY BUILDING INSPECTIONS BAYBORO, N.C. 28515
PUBbX 77G YAMLIG0 G I
.1 [phone]
(Ater this form is completed by the landowner proposing the projec ,
a �Opy is. given to hiallier adjacent landowners for their consent an
signatures. 'Elie forms are then returned, along with a building plat
and other applicable required information, to the Building Inspectidns'
Office for building permit application/processing.)
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT EPN#
I herebycertifythat I own property adjacent to
on %/ cam 5�Z i_
Name of landowner proposing development body of water
in/near�i��1� Lodi '� °f Subdivision, if applicable
community
Tax Parcel # �2Z2 9 off S Complete description of.how to
locate this property: ,4�7x Xo�
The proposed project, a and the location has been
described to me as shown in the drawing below and I have no objections
to the proposal.
FOR A PIER, CHECiV ONE OF THE FOLLOWING:
I wish to waive the 15' minimum setback from my riparian access.-
V I DO NOT wish to waive the 15' minimum setback requirement.
Draw the proposed structure in the space provided below. List the size
of the structure and measured distances from the adjacent property
lines, other structures on the property, and the road, water, etc. '
_ 'IV ���✓.
y
a �
1
joy"
6
y f1'r w1
Ei-
Date'Tinted Nameh c l�/Signature c-�