HomeMy WebLinkAbout10964_General Permit_19921209�CAMA AND DREDGE AND FILL p
GENERAL
PERMIT - N9 10964
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Re Qurc s Commission
in an area of environmental concern pursuant to 15 NCAC 0
Applicant N me r� Phone Number
Address � d �H z
City /,�- .Qti
Project Location (County, S
Type of Project Activity
PROJECT DESCRIPTION
Pier (dock) length
Grorn-ltmgth
number
Bulkhead length
� G) .
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
State _ /1,
:e Road, Water Body, etc.)
if�t
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.
zip !�� Sl �,
(' (SCALE:
7 n�.'f/
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AQU'
issuing date
applicant's signature
permit officer's signature
3- I - I�F �,
expiration date
attachments
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee
Management Program.
UNITED STATES POSTAL SMEF-:11Official Business
PENALTY FOR PRIVATE
USE, $300
Print your name, address and ZIP Code here
SENDER:
• Complete items Vand/or 2 for additional services. I also Wish to receive the
• Complete items' 3, and 4a & b. following services (for an extra
• Print your name and address on the reverse of this form so that we can fee):
return this card to you.
• Attach this form to the front of the mailpiece, or on the back if space 1. ❑ Addressee's Address
does not permit.
• Write "Return Receipt Requested" on the mailpiece below the article number. 2 ❑ Restricted Delivery
• The Return Receipt Fee will provide you the signature of the person delivere
to and the date of deliverv. Consult postmaster for fee.
3. Article Addressed to:: / /
L,� I-,e..¢n1 //�C�i. oaSe L
4, l �, !0i71
5. Si atur (Ad ressee) /
6. Signature (Agent)
PS Form 3811, November 19i
4a. Article Number
p/er
, 0d
4b. Service Type
❑ Registered ❑ Insured
lis Certified ❑ COD
❑ Express Mail ❑ Return Receipt for
Merchandise
7. Date of Dlivery
/12
8. Addressee's Address (Only if requested
and fee is paid)
*U.S. GPO: 1991-287-066 DOMESTIC RETURN RECEIPT
I
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
1 �� ►� �� k r- i? 's property located at
(Name of Property Owner)
(Lot, Block, Road, etc.)
on SiCf� IFi7/e in /�y r�/J, C�lZ.st)nl-- N.C.
(Wate 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.
-----------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
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Signature
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Print or Type Name
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Marlin B. Frankhouse �I
562 Lake Meade Drive
East Berlin, PA 17316
}show iE XI -84(- V2,70
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FOLEY _& FOLEY
NYAR|NE CONTRACTORS. |NC.
November 24, 1992
Mr. & Mrs. Marlin Frankhouse
562 Lake Meade Drive East
Berlin, PA 17316
Dear Mr. Frankhouse,
Enclosed you will find a Riparian Property Owner's
Statement that must be signed and retuned to us. This form
is to notify you that your neighbor, Mr. Tom Keene wishes
to construct a DOCK and a BULKHEAD on his property at Lot 285,
in Fairfield Harbour, New Bern, North Carolina.
Adjacent property owners are required by Coastal Area
Management Authority to be notified of proposed waterfront
construction. Once the contractor has received the signed
riparian form, he may then apply for all necessary permits.
For your convenience we have included a self addressed
stamped envelope. Please feel free to contact us should you
have any questions.
Regards,
Y& FOLEY MARINE CONTRACTORS, INC.
Daniel J. Foley,u ° [�
NOTE: Our new toll free number is 1-800-849-3625.
Certified Mail # : P 688 580 568
DJF/db
ENCLOSURES
(FOR A PIER)
I hereby certify that I own property.adjacent to
Is property located at
(Name of Property Owner)
(Lot, Block, Road, etc.)
on in NI~z,,j N.C.
(Wat 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
propoGa1. 1 understand that a pier :vast 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)
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Signature
Print or Type Name
Telephone Number
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