11775_JETT, MATTHEWS_19930209

O
CAMA AND DREDGE AND FILL
GENERAL
PERMIT
as authorized by the State of North Carolina
jl Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC -7 1 -' ,
Applicant Name ��1 �I P ` �i Phone Number
Address l''> t f i" ej)C 176
City f ! r' K State Q .
Project Location (County, State Road, Water Body, etc.)�''tlli 5 `('IA
Type of Project Activity
/0 U �
PROJECT DESCRIPTION I SKETCH ! l
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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 ail local
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
objections to the proposed work.
i
Zip
(SCALE: )
applicant's signature
t
s
permit officer's signature
1
issuing date expiration date
v
attachments
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
application fee #. �- V • 60
0

FOLEY & FOLEY MARINE CONTRACTORS, INC. WACHOVIA BANK 5 217
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
uJ
DATE AMOUNT
TO THE 02-09-93 $ 50.00/100
ORDER OF: DEHNR
G.P. Matthews GPC-1/7?5-
1110000521?►I' ':053i0?633I:
TWO SIGNATURES REQUIRED
-40
580 6 000 90 711'

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
I hereby certify that I own property_ adjacent to
' s property located at
(Name of Property Owner)
Lot, Block, Road, etc:
on0_LVLA;��=oo i G_ic_ , in QaQ_y C rI , N.C.
(Waterbody) (-G%m aad Lear 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 iir by i.Tdi'vidual proposing development)
J5
-L.. ---t'-- { E)WL-MN 6 $ e
Signature
Print or 'Type Name
Telephone Number

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
_ (FOR A PIER)
I hereby certify that I own property•adjacent to
:. ozs "Z�YT• 's property located at
(Name of Property Owner)
C t.o,S 7i;x" ZAM r NC._
(Lot, Block, Road, a c.)
on�E in N.C.
(Wlaterbody) ' ( Town fir- e&dnty)
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.
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DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
C'A ul-W }owner
pR.oP �� 'To C viz x =a; ; 6 A,.-M'i'
Signature
Print or Type Name
LiH
Telephone Number