22365_TEUBERT, BENNIE_19990625

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 i `l''"� Phone Number
Address 7)2 .
City i' x� Zip �� �rJ
State
Project Location (County, State Road, Water Body, etc.)t
Type of Project Activity (.,, li t:k f'�� NC.� -R, j C Z c;;--.L
2_-
PROJECT DESCRIPTION I SKETCH C2��� (SCALE:
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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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.
?b-A-Pc�,�►T.y,
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.
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t applicant's signature
issuing date
attachments
permit officer's signature
expiration date
In issuing this permit the State of North Carolina certifies that �U
this project is consistent with the North Carolina Coastal application fee
Management Program.

FOLEY & FOLEY CONTRACTORS, INC. 3012
PH. 252-636-2515
1810 OLD AIRPORT RD.
P.O. BOX 3482
NEW BERN, NC 28564 66-1185/531
DATE
PO AY
TTHE
ORDER 0 60
DOLLARS
A,ATRIANGLE
X: BANKHwy. 70 Offi New Bem, NC 28560
FOR:77a 7-b- CY4-
iin0000301211n l:053111852l:0931 r:, D I'm

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
I hereby certify that I own property adjacent to
's property
Name
located at 19 d % toe (roc, le cod Og.
(Lot, Block, Road, etc.
PENUO-11
wit W ► �.K (�-2CC in /U %:�c3 %�C � cl �� 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 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
PT,T IN BY INDIVIDUAL PROPOSING DEVELOPMENT)
5i na�ltlre
T Ak) A./
Name
3e2
Phone Number

Jun-24-99 O7:27A
UC%L4/99 01:i9 FAA
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ADJACENT RIPXR.IAN PROPEPJX QWNL7R STATEMENT
(FM A PIER)
= hereby certify that I oWTI property adjacent to
I property
located at _ `� G oV f FIJv , on
(Lot, Block, Read, etc.)
in a,54j O-ewvr-J
dater Body Town and/or --county)
He has described to me as shown below the development he is
proposing at that location and I b$ve no objections to his
yrOPosal• I understand that a pier must be set back a mInimLm
di.staace of fifteen suet (15,) frOM MY aria of riparian access
unless o►alved by me.
I do not wish to waive that setback reE irema t_
gu n
I do wish to waive that setback requirement.
Deseziption and/or drawing of proposed development: (To BB
Y LLM) IN BY IlibrVTV AL pROpOSDM )
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