21122_SHIELDS, LORIGHT_19981210

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
Applicant Name -Phone Number
Address
City State Zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION
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 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.
(SCALE:
Me
'L permit otticer's signature
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issuing date expiration date
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attachments
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7
application fee

4768
COASTAL MARINE CONTRACTORS, INC.
P.O. BOX 12729 PH. 252-638-6407
NEW BERN, NC 28560
DATE
66-112/531
12-10' ��
PAY / p O U
TO THE
ORDER OF 1 $ / QO
DOLLARS
01901 BB&T
375-SOUTH FRONT STREET
CC NEW BERN, NC 28580
FORo� �I f r IL/ IlJ LC��- 4 21I.-)A �.111 Lr) - Nr
ii'00004768ii''1:05310LL211:5L101L2698110

J
ADJACENT RII'ARIAN PROPERTY OWNER STATEnMNT
(FOR A PIERIA100RING PILINGS/BOATLIFT/BOATIIOUSE)
I hereby certify that I own property adjacent to -�� �/'�G� 7 J��j �t? /045 's
(Name of Property Owner)
property located at
,23 V17 chlk
(Lot, BI
on j WE/v T Iye r in
(Waterbody)
etc.)
C'IC4�lziU &).
(Town and/or County)
N.C.
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/mooring
pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
1� I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION A.ND/OR DRANVI G OF PROPOSED DEN'ELOP\TENT:
(To be filled in by individual proposing development)
-------------------------------------------- ; --------------- ---
----------------------
J
Signature
Print or Type Name
Telephone Number
Date: J u

ADJACENT RIPARIAN PROPERTY OWNER S'rATEIIIENT
(FOR A PIERIMOORING PILINGS/BOATLIFTIBOA?7IO USE)
I hereby certify that I own property adjacent to —
Name f Property Owner)
property located at
n
(Lot, Block, Rdad, eta.)
on (;��� �� in�1 )� , N.C.
(VYaterbody) (Town and/or Courty)
He has described to me, as shown below, the development ire is proposing at that
location, and, I have no objections to his proposal. I understand that a pier/mooring
pilings/boatlift/boathouse must be set back a minimum distance of fifteen feet (15') from my area
of riparian access unless waived by me.
if I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
DESCRIPTION AIND/OR DRANN'r G OF PROPOSED DEVELOPMENT:
(To be f; lled in by individual proposing development)
91 r-?-
--------------------------------------------------------------------------r --- ---------------
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Signature
Print or Type Name
z s Z -638=
Telephone Number
Date: /I /vd cf