16304_ROSKINS, ROBERT_19960530

CAMA AND DREDGE AND FILLrd 01630 , �?
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 071% •
Applicant Name _
Address
City
Project Location (Count , State Road, Water Body, etch
Phone Number 5?f% • 5111-?' cl`fa3
State st/G zip
.5-,e 13OR i i/;;.r ,
Type of Project Activity r�UrwS ear,/ rP /DU 41' A/
PROJECT DESCRIPTION
Pier (dovk) length /OO it 6 r
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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.
(SCALE:
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V��1Lf"rlt ��"�-Et c%fs'L- fYj.„ � ^Cr '"'' f �• .
/ applicant's signature
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permit officer's signature
issuing date expiration date
attachments 6)211 /Z60
In issuing this permit the State of North Carolina certifies that /
this project is consistent with the North Carolina Coastal application fee «, /%a!C. -7 33
Management Program.

t
3533
COASTAL MARINE CONTRACTORS, INC.
P. O. BOX 12729 PH. 919-638-6407 66-112
NEW BERN, NC 28560 531
DATE ✓ � � O ✓
TAY
O THE I s �Q fjC�
ORDER OF
�0fl DOLLARS
O1901 BB&T
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375 TRNYOPALACE DRIV.E
FOR 7wN BERfy, N 26560 /
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+ PAMII�IICi� C011NT Y BfllhL8�jIING INSppgg(�TIONS
PCi BOX 776 BAYBORO, WPM
[phone]
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT EPN#
I hereby certify that I own property adjacent to ROBERT ROSKIND
GREENS CREEK
located on — in ear _ ORIENTAL
(body of_ water) (community)
Lot # �.__-_
of
(Subdivision if applicable)
Tax Parcel # I092-21 M8
off SR Complet description
of how to locate this property: West end of Oriental bridge
The proposed project, ;1 Dock- 4 Mooring Pilings__ and the location has
been described to tree as shown in the drawing below and I have no objections
Loo the pr oposai .
FOR A PIER, CHECK ONE OF THE FOLLOWING:
I wish to waive the 15' minimum set back from ml riparian access,
x I DO NOT wish to waive the 15' minimum set back 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.
SEE ATTACHED DRAWING
DATE 5_L15 96
SIGNATURE
Anne R. Gwaltnev
NAME, PLEASE PRINT

n

PAM iCBOX��fi7ZY EAYh84NG NCS28 15ONS
[phone]
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT EPN#
I hereby certify that I own property adjacent to ROBERT ROSKIND
GREENS CREEK
��'� on _ in ear _ ORIENTAL
(body of water) (community)
Lot # �___.. o f -_ _ _ _ _ _ _ _
(Subdivision if a plicable)
Tax Parcel # ! I092-21 _ off SR 1�08 Complet description
of how to locate this property: West end of Oriental bridge
The . proposed project, a Dock-4 Mooring Pilings 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, CHECK ONE OF THE FOLLOWING:
I wish to waive the 15' minimum set back from m, riparian access.
I DO NOT wish to waive the 15' minimum set back 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.
SEE ATTACHED DRAWING
DATE 3! 3 9G
AY
Received
NCDOT
Div. 2-Dist, 2
_ G.
SIGNATURE
11
1�i9/e o.y G. z: y cma T-r
NAME, PLEASE PRINT
/(� C. PEIpT• of %An/sP�J�c�AT/eN

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