10747_John P Galbraith_19920430

CAMA AND DREDGE AND FILL.
GENERAL
e !` ITT 4
PERMIT . kTP r10747
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the CoastahResources Commission
in an area of environmental concern pursuant to 15 NCAC 7 /i If' C
Applicant Name
Address 0 S
city / _mot ,-c
Project Locati (Cou t
Type of Prpject A.,(,)tivity
Phone Number
State Zip ,9-, S K T�
State Road, Water Body, etc.) �'��" ���✓ /'""`�"
y't x �a, w I x s 6c-
� 9' 1 X 3' w
PROJECT DESCRIPTION
�L
Pier (gock),I ngth I y
Groin length.
number
Bulkhead length
max. distance offshore
Basin, than* dimensions
SKETCH
cubic yards I s
Boat ramp dimensions
Other
f
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. n.
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 written statement has been axi
adyacent ri arian landowner�rss certn in that the ve no
off' ctions to th " rop sed r � �t
In issuing this permit the State North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
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(SCALE:
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applicant's signature
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permit officer's signature
issuing date expiration date
attachments
application fee % r q 3 / 7

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
I hereby certify that •I own property adjacent to
J h 1"g 's property
Name
located at a3o Earzf,(.;'ti D1, �� r2 r3���� on
(Lot, Block, Road, etc.)
in IJF-W I13,CIP0 C-l2.DvF-,J , 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
FILLED IN BY INDIVIDUAL PROPOSING DEVELOPMENT)
,rF. rD.1. -
County of
State of
Notary Public
a �
.Signature v
r � t
—�. C 1 C
Name
Phone Number
My Commission Expires:

r,
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
I hereby certify that I own property adjacent to
�� a �� Ir 2,A 1 �• Is property
Name
located at a 30 S� v T2 � G �N�� , on
(Lot, Block, Road, a .)
in IJ F(-J 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 (15') 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 IN BY INDIVIDUAL PROPOSING DEVELOPMENT)
dCounty of
.S gnature
State of
Name
Notary Public Phone Number
My Commission Expires:

4315
FOLEY & FOLEY MARINE CONTRACTORS, INC. W NEW BIA BA NORTHRUST OMPANA Y, A
PRIMARY CHECKING 66-152-531
PH. 919-636-2515
POST OFFICE BOX 3482
NEW BERN, NORTH CAROLINA 28564-3482
PAY
DATE AMOUNT
�.. ,.. . ,ok I 1 0 4 — 3 0 — 9 2 $ 5 0 .0 0 / 10 0
TO THE Idf,utNic I . ,.• 7
ORDER TWOi S}¢NATURES REQUIRED
OF: DEHNR
G.P. Galbraith
11600004 3 L sum 1:0 5 3 10 L 5 291: 5806 000 711■

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