16084_LAKE, PETER_19960418

CAMA AND DREDGE AND FILL
GENERAL
PERMIT
Fo /'-I f C Ir/
010084
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
Applicant Name '1 `! Phone Number
Address
City 6-1 State 1-114 zip Z/0 h
Project Location (County, State Road, Water Body, etc.) -�'� �' P �- c� %^ �G f�a S®� _7
I P G' -, h o `7 5 a C a c, G 7r" �� r ti r -r �--e
Type of Project Activity %(� `J r_ � -° '
l�
PROJECT DESCRIPTION SKETCH C ETA (SCALE: /� }
Pier (dock) length _
e
Groin length
number V P ('t
Bulkhead length
max. distance offshore
Basin, channel dimensions
�Gr
cubic yards
Boat ramp dimensions
Other
0 co C
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.
issuing date expiration date
attachments It, A C 7/4 O `9
r In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal o application fee �
?aZgement Program.

DANIEL J. FOLEY, JR.
6531112
NCDL 802651 PH. 633-3613
300 FORT RD.
L� _ I
^I
NEW BERN, NC 28560
I�
/Y R
r /
C 629
$ So as
gjoh�m
BB&T
..A��....I..ANo..�..�oM.AR.
NEW BERN. NORTH CAROLINA 28080
L-�k e G Pc j b o g S� fy, --- --- - ^P
i:05310LL21i:5LL0L23584ul 0629

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
K 9 k a 's property located at
(Name of Property Owner)
sFe ,? I F-Pse/ tr C A cap,
(Lot, Block, Road, etc.)
on o P k , , in h/ F--.j Regli C %2B F.� , NC
aterbody) (Town and\or COIAnty)
He has described to me, as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
-------------------------------------------------------------------------------------------------------------•------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
f T o be filled in by individual proposing development)
Pk
303
signs
Print or T* Name
Telephone Number

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R- 180.00,
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l
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby y that I own property adjacent to
's property located at
(Name of Property Owner)
3 Q SE7e_ 30
FFH Sg�(t C A C,
(Lot, Block, Road, etc.)
on "MR��, k , , in lv F--�_ ��r2,t1 C 2B L) F� f, NC
aterbody) (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.
---------------------------------•----------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
Pk
JI
r
r
Signature
AF—
Print or Type Name
0// - 3s`t Ua
Telephone Number

r
L%
R-180.001
10. %
HARBOUR
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5 38
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