15976_RICE, TO_19960221

ZZ
O
CAMA AND DREDGE AND FILL
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 C "%�' f0! / = U v � , /ZOO
Applicant Name Phone Number
Address 16
City
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity '
PROJECT DESCRIPTION
Fier (dock) length `
Groin length
number
Bulkhead length
max. distance offshore
Basin, rham-rel dimensions
cubic yards S
Boat ramp dimensions
Other
SKETCH
To A,
2'
State
/" L TAT 4
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.
' �Q`,�N i 2a't 2u' 7 •3'�
- Zipa.•-
(SCALE:
VW
i
ti
I
;SCE
a° kcj PE 2 t Y
3
applicant's signature
permit officer's signature
issuing date expiration date
attachments 0 / 9. •//a� , a0U, /SG o
application fee i 11;0 o* tIl c try A Z7 97

-- 7494
FOLEY & FOLEY MARINE CONTRACTORS, INC.
PRIMARY CHECKING
PH. 919-636-2515
POST OFFICE BOX 3482 66-152/531
NEW BERN, NORTH CAROLINA 28564-3482 — of % 1914
PAY $ Sd
TO THE �
ORDEROF
O
DOLLARS
TWO NA ES REQUIRED
WACHOVIA BANK
OF NORTH CAROLINA, N.A.
NEW BERN, NC 28560-1677
FOR
u■0000 749411' i:0 5 3 10 315 2911: 5806 00090 711' mn.

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
W , �,'� ice, V , c 9 is property located at
(Name of Property Owner)
1 00 - Ck'S1
(Lot, Block, Road, etc.)
on O-� '-�oCovc2 Cr?l< ,in P#9-,r4cxJc 0eAur.,J ,NC
(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.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
s6'P ZZ �i-9A�g
Pnnt or Type Name
9/�-4W7 6s0-3
Telephone Number

- 41L,..4 T - --- ^--.3'acent to
is property located at
(Name of Property Owner)
too- CPFr
(I.,ot, Block, Road, etc.)
on Der cr? K , in t-10-0 F-4 cx C- Ca Z9U F-4J , NC
(Waterbody) (Town andlor 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)
$ ca- 87 t�R,6w'01j y-r
Signature
Print or Type Name
Telephone Number

— -- .— - .-.- L -,- --.
II !�� ;�i Ifni I
m
y�o.i I - -- - _I__ .. i-

?`•+saw+ r-r-;,yv'sc;'S'i;�rii^�-.^!yrak:°
t
CERTIFICATION OF EXEMPTION
��,
FROM REQUIRING A LAMA PERMIT JAI �.,.� / � 1 S p-7.os C
as authorized by the State of North Carolina,
Department of Environment, Health, and Natural Resources and the Coastal Res o r ommission
in an area of environmental concern pursuant to 15 NCAC Subchapter 7K .0203.
Applicant Name ` r e Phone Number
Address s fJ i !, _�,„
City 1 �/-�- _o /r J SE6 a :3 - State .y' zip g s� 6- / ;L
Project Location (Count, State Road, Water Body, etc.) c a .P -, o i r e
f3en9 , 1 S * .r. '
Type and Dimensions of Project'f
The proposed project to be located and constructed as described
above is hereby certified as exempt from the CAMA permit re-
quirement pursuant to 15 NCAC 7K .0203. This exemption to
CAMA permit requirements does not alleviate the necessity of
your obtaining any other State, Federal, or Local authorization.
This certification of exemption from requiring a CAMA permit is
valid for 90 days from the date of issuance. Following expiration,
a re-examination of the project and project site may be necessary
to continue this certification.
SKETCH jEs (SCALE: )
--
u
>�TJ
V
i
Any person who proceeds with a development without the con-
sent of a CAMA official under the mistaken assumption that the
development is exempted, will be in violation of the CAMA if there
is a subsequent determination that a permit was required for the
development.
The applicant certifies by signing this exemption that (1) the ap-
plicant has read and will abide by the conditions of this exemp-
tion, and (2) a written statement has been obtained from adjacent
landowners certifying that they have no objections to the
proposed work.
-pi',14f
CAMA Official's signature
1 01 9- 4 ,
Issuing date
(-o- a9- 91
Expiration date
ok
LU
L/
Attachment: 15 North Carolina Administrative Code 7K .0203

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR AIR)
I hereby certify that I own property adjacent tou Fo F—Ee L, 'WiooS 's
property located at f�9 RVt-61gF —(-)fZ-
(lot, block, road, etc.)
on 3U Q'C 5WML) in ��N� I�G�OL` cf4CKCS, N.C.
(water body) (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 15 feet from my area of riparian access unless waived by me.
do \ do not wish to waive that setback requirement.
(circle one)
Description and/or drawing of proposed development: (to be filled in by individual
proposing development)
f L
Q Fi- Sr-" f1lLL}f{LC
TJ665
/E
signat,4fe
o`Z ZSV?ZYFS i
Name
Phone Number

(; coe-,6F t . Ri66s
-1q 4l D f-k C��'F pre
-pjNC 1�Nocc s FS,
PC,

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A aPfEli)
I hereby certify that I own property adjacent to 6ka'e4 L - �l�l�s 's
property located at 2- LP6, 04 1 1191W +- NveL1— 567D,'eE54 lfl-6'
(lot, block, road, etc.) //
on VDC1bG— SO0.vQ in 4tc,aJ kA1 St/aACS , N.C.
(water body) (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 15 feet from my area of riparian access unless waived by me.
I do / do not wish to waive that setback requirement.
(circle one)
Description and/or drawing
proposing development)
of proposed development:
V15rlv6
BOC10E � � SOUiv D
(to be filled in by individual
01
Lop-rh
Pit,, PC'el-Y L{ Ne
(AC'C-S
_guL.gNaoD TO aC 4,egPEp
MtAcrf #+S PASS t Qt-E -
Signature
Name
Phone Number
L-.*�v tfs
Rr l
[AN
2&Z AP

��
�,.
�' �_ __ r_
r
L%r
1
� ,ay,� a` � � ,, ` __ ..
c � .,5; `q
� y � y

2�� r
-,._.-JI