10855_General Permit_19920812

CAMA AND DREDGE AND FILL
GENERAL
PERMIT gsw -C
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources.and the Coastal Re 0rces Commission
in an area of environmental concern pursuant to 15 NCAC �f /, / -;? 1,
Applicant Nar
(YI-ti4_11U11 L. Phone Number 6 3 f- 6 a d, a
Address 1'e C 0
City A!__ 13 �-c'I' State y Zip
Project Location (County, State Road, Water Body, etc.) _ C-
NCType of Project AStivity Z_ n S cti '� �� a L X 3
r Y / ! ) bc-
PROJECT DESCRIPTION
pP'er (dock) length r 7 U Ll
�� , �G GG- l Liy
Groin length,_
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions,
ther
SKETCHY Gr. /`' r (SCALE:
r3 ,----I b -----a
S#
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. d,
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.
a -9:-
issuing date
/, ,- 4-:
3;`
_---------
applicant's signature
permit officer's signature
attachments i " L L- , / / P
expiration date
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application
Management Program.

4697
FOLEY & FOLEY MARINE CONTRACTORS, INC. WACHOVIA BANK & TRUST COMPANY, N.A.
PRIMARY CHECKING NEW BERN, NORTH CAROLINA 28560
PH. 919-636-2515 66-152-531
POST OFFICE BOX 3482
NEW BERN, NORTH CAROLINA 28564-3482
PAY
'dill 11111
! Viw' it L L. ,:I Aun, -un1
DATE AMOUNT
08-12-92 $ 50.00/100
TO THE
ORDER DEHNR / %
OF: /,/ / TWfYS NN,QTURES REQUIRED
G.P. Meekins
Ir000046971I' 1:053 LO L5 291: 5806 000907

ADJACENT RIPARIAN PROPERTY OWNER sTATEMENT
(FOR A PIER)
r I hereby certify that I own property.adjacent to
's property located at
(Name of Property Owner)
(Lot, Block, Road, etc.)
on in �'rtJ U
/U � � ,ceayfi 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 AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
'Signature //
• v /i 1' .l e
rint or Type Name
�� 3(�- /3g6
elephone Number

ADJACENT RIPARIAN PROPERTY OWNER STATE
(FOR A PIER)
r.
I hereby certify that I own property adjacent to
(Name cl Property Owner) 'S Property located at
(Lot, Block, Road, --------------------
on �Q� vFzh in y �
(Waterbody) • �0 CSII�ir� . N. C .
( Town and or Couxlty)
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- riparian access
unless waived by me.
_✓ I do not wish to waive that setback requirement.
� ement.
I do wish to waive that setback requirement,
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DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT;
( To be filled ir. by ink i vidual pro
posing development)
Si %a�ture /
rrint or Type Name
Telephone Number

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