10792_General Permit_19920617

CAMA AND DREDGE AND FILL
GENERAL
PERMIT N9 10792
as authorized b the State of North Carolina qp
y G/
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC %'" Ilene?
Applicant Name
Address D,' %y
City 41—Q", State
Projec�L^ocation (Cou ty State Road, Water Body, etc.)
wl .. C_
Type of Project Activity 3C,
PROJECT DESCRIPTION I SKETCH
Pier (dock) length
Groin length, J
number
Bulkhead length
/ "i oo
max. distance offshore
71
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
C
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. 10/
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.
Phone Number t
ti-1.7_7
issuing date
zip d Y 4 d r,
(SCALE:
applicant's signature
permit otticer's signature
attachments_' !/ C/7 7// 11,91
expiration date
In issuing this permit the State of North Carolina certifies that��
this project is consistent with the North Carolina Coastal application fee -
Management Program.

4477
FOLEY & FOLEY MARINE CONTRACTORS, INC. WACHOVIA BANK a TRUST COMPANY, N.A.
NEW BERN, NORTH CAROLINA 28560
PRIMARY CHECKING
PH. 919-636-2515 66-152-531
POST OFFICE BOX 3482
NEW BERN. NORTH CAROLINA 28564-3482
. PAY ,rw,
h1i1111J1e Li:ui. ii�l fru,�
DATE AMOUNT
06-17-92 $ 50.00/100
TO THE
ORDER 'ryV 1 URES REQUIRED
OR DEHNR
G.P. GORMAN D
Ila00004477111 1:0531015291: 5806 000907III
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ADJACENT RIPARIAN 7,R PERTV OWNER STATEMENT /
(FOR A PIER) c
.I hereby certify that I own property,adja_Fe to
Artel A A A -M,9t.1 's propert located at
(Name of Property 00ner) y
(Lot Block Roadetc.)'
on _ bJ1 100 C'2Ri 'lQ , 'in _A)Fe.0 &L ?Zj �c�47A ,. N.C.
(Waterbody)• (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 s
....._ etbacY, requirement.
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W.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be fired it by individual -
proposing development)
l J6oi
1`
Signature
X//V(�;_
Print or Type Name
%9-/37- ,�//
Telephone Number

(FOR A PIER)
I hereby certify that I own property.adjacent to
AA m Ate 's property located at
(Name of Property Owner
i
(Lot, Block, Road, etc.)
on _ b ; LS Q a C°.2 ft /S 1( , 'in .
Av Ft� ,, N.C.
(Waterbody) (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 AhD/OR DRAWING OF PROPOSED DEVELOPMENT:
( To be filled ir. by inl i vidu al proposing development)
Prpit or Type Name
.� 3 3 221 .
Telephone Number

�?� 7,7 v

C,y

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tit
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