10961_General Permit_19921125

V
LAMA AND DREDGE AND FILL _
GENERAL H
C o�
PERMIT M 10961
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resourc s ommission
in an area of environmental concern pursuant to 15 NCAC iV� /1 C �' // // /� l�
Applicant Name J6 oL E
Address
City, r State
Pro ect Location ( ouny. State Road, Water Body, -etc,
!l �-'ter-•-�4-Y �.�{ , 5��
Type of Project Activity 3r;o
PROJECT DESCRIPTION I SKETCH,5 / T11
Pier (dock) length
Groin length. 1
number
Bulkhead length
max. distance offshore
r .
Basin, channel dimensions /
cubic yards /
Boat ramp dimensions
- I
Other
Phone Number ?�,k - 9- ga ^ %4 i 5
zip / r S P 6
?,?9 3;�v S
, A4-,f /f ?-try,
(SCALE:
i
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 applicant's signature
come null and void. D�
This permit must be on the project site and accessible to the permit officer's signature
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 issuing date expiration date
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
objections to the proposed work. attachments 6 / /7
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal appticationfee � 41 #
Management Program.

FOLEY & FOLEY MARINE CONTRACTORS, INC.
PRIMARY CHECKING WACHOVIA BANK
PH. 919-636-2515 OF NORTH CAROLINA, N.A.
POST OFFICE BOX 3482 NEW BERN, NC 28560-1677
NEW BERN, NORTH CAROLINA 28564-3482 66-763/531
PAY
4iAliidL 5.
► I ��� ,may
TO THE
ORDER
OF. DEHNR
G.P. Polsar
11100005033118 1:053 L076331: SBOE
DATE
11-25-92
5033
AMOUNT
$ 50.00/100

ADJACENT RIPARIAN PROPERTY OWNER STATMENT
I hereby certify that I own property adjacent to
's property located at
w s-: Kane .,of.. P o r. Owner
„ ;•b.'1=r::3aq 33 SEC,
` (Lot, Block, Road, etc.)
on A.CZAIF IC in/dJE;-o f3J- N.C.
(Wate ody) (Town and/or County)
` o below the development he is
He has des a to'me,, as shown h crib d m
, P
proposing at that•location, .and; I have no objections to his
proposal.
j---------- -------------------- ---------------- ----------- --------
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by indivN11' Pro sing development)

-% /' u Erg-
's property located at
(Kame of ': Property. Owner)
0 S
.. _32 0-77
;':• ``' (Lot, Block,
Road, etc. )
'
on
2; �. CfZ Eff .. in
t�I F �ERra CR�U N.C.
. (Waterbody)
(Town and/or County)
�= ,He has described to me, as shown below, the development he is
• proposing hat oc tion
. ;.. p p g at t l a , .and, I
have no objections 's
h v � to. his
�: proposal.
•
----------------------------------------------------..-
DESCRIPTION AND/OR'DRAWING OF PROPOSED DEVELOPMENT:
:.(To be filled in by individual.proposing development)
C C
13o4IC�F�
0(
'-
Signature .
rw o 19 C, I a
Print or Type Name
Wq
Telephone Number

�Y/

7 7