10965_General Permit_19921209

CAMA AND DREDGE AND FILL
GENERAL
PERMIT NQ 10965
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and re aSt ,I Resources Commission
in an area of environmental concern pursuant to 15 NCAC 7 ��C 4 ' S -'
Applicant Name
Address /0 &C -'A
City, JZ -e,, State _
Project Location (Co nty, State Road, Water B�dy, etc.)
Type of Projec ,Activity
J_��t�
PROJECT DESCRIPTION SKETCH - � �0 � /)
Pier (dock) length
Phone Number �_ i9 - D P 9 9
J A" � -,, V r� Ak
Z i
(SCALE
Groin length
number %
Bulkhead (length
maxdistance offshore >� i ? O
Basin, channel dimensions
cubic yards ;, ��„_ J_L���
Boat ramp dimensions
Other a e
x��2�Q•�s/J_ 1
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
_-) 3--�?
^issuing date ,(/ ) !�— expiration date
su7
attachments �C /! C / / 1 / 1 (/
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee "/ (' eR
Management Program.

e
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
TO THE
ORDER
OF: DEHNR
G.P. Foster
... � �11i1` I''lll'I � ,.� I111111I �Il 11 11 In li•
lii�.pl��c .,,,❑ I. (:,I�d .I L.• ' ,ul,l I I,. ,'i
1100000506411' 1:0531076331: 5BC
5064
DATE AMOUNT
12-09-92 $ 50.00/100
R

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to
's property located at
(Name of Property owner)
' ri 21 C�c l�,�JC
(Lot, Block, Road, etc.)
on IC u Cr2 Ut.1( OAA1, , , in AIF-C..) 1�w C jg2ur�J N.C.
(Waterbody) (Town and/ r 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.
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DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
.(To be filled in by individual proposing development)
S' ature /
o.sa 1�
Print or Type Name
Telephone Number
r

ADJACENT RIPARIAN PROPERTY CUNER STATE10KNT
I hereby.certify that I own property adjacent to
's property located at
(Name of.: Property. Owner)
(Lot,
Block, Road, etc.)
' on h• ; i� I
in %l/�u� /_�Fi��/ CiZR���/ 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.
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.-DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual. proposing development)
Signature T
Print or Type Name
County of
State of
Notary Public
�z 3 � L3 .�L •
'elephone Number
f
My Commission Expires:

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