11807_JONES, WILLIE_19930428

0
f 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 Commissior
in an area of environmental concern pursuant to 15 NCAC
Applicant Name
Address
City State
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
Phone Number
Zip
PROJECT DESCRIPTION
Pier (dock) length
SKETCH
G
C
5
U
1A
(SCALE: )
4--4 1 I'
1 l-T l�
:
T
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r�X
I
I I
1
i I
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
3
_
v.
I
This permit is subject to compliance with this application, sitei
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.
applicant's signature
permit officer's signature
( 3
issuing date
attachments
application fee,
expiration date

FOLEY & FOLEY MARINE CONTRACTORS, INC. WACHOYIA BANK
PRIMARY CHECKING OF NORTH CAROLINA, N.A.
PH. 919-636-2515 NEW BERN, NC 28560-1677
POST OFFICE BOX 3482 66-763/531
NEW BERN, NORTH CAROLINA 28564-3482
PAY
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O
TO THE
ORDER
OF: DEHNR
G.P. for Willis
GpQ. %6'7
1110000545 11'5 1:053 1076331:
SIG 06
DATE
04-28-93
— I--
5451
AMOUNT
$ 50.00/100

ADJACENT RIPARIAN PROPERTY
\OWNER ST TEMENT
TVl�
I hereby certify that -I own property adjacent to
's property .
Name
located at U on
(Lot, Block, Road, etc.) .
L
JV l' in N ►� cy �� �,6U i J , N.C.
r c.T77n
(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 fifteen feet (151) from my area of riparian access.
unless waived by me.
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 INDMDUAL PROPOSING DEVELOPMENT)
H
l
hFja 0-
Signature
Name
Phone Number

f ��� {,/ `.Yu-_. } o#h�f-�.r"<-r Yt ��• .. 1 ! :Vr ��^o'•iC! 1 _.{If'� ... �� . _ _ Tt.._..-
J.TVI",
P�a
,
.ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
�•�.. (FOR :A PIER)
I hereby certify that -I own property adjacent" to
T
iid 's property
Name >
located at 10 viol, ' `c T. on .
(Lot, Block, Road, etc.) .
(Water Body) (Town and/or "Count )
Y _
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.
/ 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)
I gnatfFte _-
Name ----- .
Phone Number -- - —

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