10970_General Permit_19921221

CAMA AND DREDGE AND FILL
GENERAL Gar
PERMIT C N, � 10970
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 15 NCAC 7f / /i o 0
Applicant Name "' f` �"'-`'"
Address�19 0 �,
Phone Number 3 7�
3 1 7�
City,
Pr t Location (County State R ad, Water Body, etc.) i-
�
State Zip
�t¢(��yef ' F'�'�
S �'
Type of Project Activity '
PROJECT -DESCRIPTION
Pier (dock) length
SKETCH ±r y / T4 (SCALE:
— �2
�-
e 1
�
i
I
I
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.
applicant's signature
permit officer's signature
;- '?- - a�- 9 3
issuing date expiration date
attachments . i�— c 71 ,L/
t!
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application �ed
Management Program.

FOLEY & FOLEY MARINE CONTRACTORS, INC. WACHOVIA BANK
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
21401 AL i. ijAl. I.1.4/ oil 0
�iv .Ir�WI
TO THE
ORDER DEHNR
OF:
G.P. Roberts
u'00005 L L711' i:053 L07633�:
5117
DATE AMOUNT
12-18-92 $ 50-00/100
TWO SI ATURE REQUIRE
5806 00090711'

FOLEY & FOLEY MARINE CONTRACTORS, INC.
5117
December 18, 1992
Permit - Roberts Job
$ 50.00

ADJACENT RIPARIAN PROPERTY OWNER STATE11EN'P
I hereby certify that I own property adjacent to
�. ✓dv� 0 elr _ 's property'
(Name of, Property. Owner) _
(Lbt, Block, Road, etc.)
on K , in lV fc4l cleDuf.) , , N.C.
(Waterbody) (Town and/or County)
He has described to 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)
Si nat e
OEM • A
Print r Type Name
. s
Telephone Number

ADJACENT RIPARIAN PROPERTY OWNER STATUEENT
I"hereby certify that I own property adjacent to
-w'tQ �:�rAvh 0 2Is 's prope.rty.located• at
(Name .:of_ Property. Owner)
tea.
N �8r•� 421
"' ( t, Block, Road, etc.)
• .,
on in N,u1 cle " N.C.
(Wat rbodyY . (Town and/or County)
• . a is .
• to •me as shown below the developmenth
• He •has -described
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)
✓r
Telephone Number
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