13966_RICHARDSON, JOHN & BRYAN, KEVIN_19950131

O
CAMA AND DREDGE AND FILL
GENERAL
PERMIT
�iaiL i rU f 0-UOr Y 9
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 15A NCAC
Applicant Name
Phone Number
2 y f
Address '
City r. ''
State
Zip �2 S s.
Project Location (County, State Road, Water Body, etc. )
�'�
�' fir' 1226
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Type of Project Activity( 4'� Plr; 2
+der r.�" �j `."rFk.,
r F; ctr
c, c - ,Cep. A i"d
PROJECT DESCRIPTION
Pier (dock) length
SKETCH
(SCALE:
_
Groin length
o
number
Bulkhead length
,
P
max. distance offshore
Basin, channel dimensions
t
f
c7
0
I
cubic yards
j
r"
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
i
J permit officer's signature
issuing date expiration date
attachments
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
application fee Z"s

JOHN M RICHARDSON JR w 119
ANN S RICHARDSON Cash Management Account`
DAVID A RICHARDSON
ROUTE 1 BOX 202 A 258u.,40
MERRITT, NC 28556-9708 _ 19 w
PAYTOTHE Y, ��. �. C.%�. /7• /l. J �V
ORDER OFFy� _ --- -
i/P/7 --- -- -- -- --- -- L� DOLLARS
MattiU LVnch
BAN
MEMO
1:044000804l: 040 L L L55539 TL9
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ADJACII1r RIPARIAN PROPERTY OWNER STATFlENr
/ z, 3�� -
I hereby certify that I own property adjacent to ,114AI '0'
roperty located at barrel z - o4.R.v-1020 4mE�/-fz- /V.-
/� (lot, block, road, etc.
n 16A0IVN CY inV,&goAe- 5✓�LL��
(body of water) (town) i
orth Carolina in Pamlico County. The proposal has been described to me as shown t-"elcw;
he development, a pier/bulkhea truct , and the proposed location, and I have no
(circle one
bjections to the proposal. I understand that if the development is a pier, it mu:t
,e set back a minimum distance of 15 feet from my area of riparian access unless waived
.y me. i do/do not wish to waive that setback requirement.
(circle one)
.-scription and/or drawing of proposed development: (to be filled in by individual
roposing development.) INDICATE THE SIZE AND LOCATION OF THE STRUCTURE AND THE
: i S'MFCE BMWEEN EACH PROPERTY LINE AND THE WATER.
1
Pt
L
�� 0 •CxiST,-.vc-
`^ L 1.4/6
0
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PRO--10
pij,iNfr
(Original must be retained in the Inspection Department)
Signature
date
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Name (Ploagv PrinYl