16310_HOLBERT, RICHARD & LELA_19960703

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CAMA AND DREDGE AND FILL
GENERAL
PERMIT
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as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coast I Resources Commission
in an area of environmental concern pursuant to 15A NCAC
Applicant Name '�lrr�r% cam N` ��r f Phone Number
Address
City State
Project Location (County, State Road, Water Body
etc.) t1nv/p!'
_ � ? U Sr� s :.S• Ov7 - ri�% f i c' ��!(p •i �%�P !C. _ 1T�R• r
Type of Project Activity
r JU ! k 300
PROJECT DESCRIPTION
Pier (.dock) length,OD k
-6
Groin length
number —
Bulkhead length
411 A is, o 1;4
SKETCH
(- - e"C" P i
4 u C
max. distance offshore pyaP.1 S., Z.
Basin channel dimensions�� r !
Ir
cubic yards
Boat ramp dimensions
Other
C
� p 1� is'L
4
Gr
ILL $Crn -776GPr, i `(-
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.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
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Zip
7
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P•l ooy "a
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applicant's sign
permit officer's signature
issuing date expiration date
attachments 0 rr /Z6JO
/ ly �
application fee `.3C � i �p�4

BRUCE BIRNBAUM
AJC_
66-763/531
3 �9
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S Dalele on Deck.
Wl1VliV 11[1 t
Wachovia Bank of North Carolina, N.A.
New Bern, NC 2K560
FOR P. Ti O16,310-C a_4 Ole // C
':053 L076331: 86 L6 L8749 L11■ 0488

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
RTf'TTARTI k T FT A T4(1T RFRT ' s property
Name
located at LOT #12 THE MOORINGS
(Lot, Block, Road, etc.) on
In TWNCi7P A5 , N.C.
ater ody) (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 must be set back a minimum
distance of fifteen feet (151) from my area of riparian access
unless waived by me.
10
I do not wish to waive that 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
COASTAL MARKETING AND DEVELOPMENT CO
Name
919 633 6091
Phone Number

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