8002_MAYNARD, THOMAS_19910521

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CAMA AND DREDGE AND FILL r- 8n02
GENERAL �©
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PERMIT
as authorized by the State of North Carolina,
Department of Natural Resources and Community Development and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC
Applicant Name VA
Address t_ 0 c'Y' ;=i 6—
City
Project Location (County, State Road, Water B
PROJECT DESCRIPTION I SKETCH
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
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Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
Phone Number
State
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etc.) —
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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.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
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applicant's signature
permit officer's signature
issuing date f expiration date
attachments
application fee /1)lr &

1 DJACL\T RIPARIAN PROPERTY M= STATEMIE24T
I hereby certify that I own property adjacent to
Tom Maynard 's property located at Lot 2 PPplicQn
(lot, block, road, etc.)
on Broad Crppk in the village of Pamlico Pamlico Co. N.C.
body of water town and/or county
7T�hee proposal has been described to me as shoran below; the development, a
( ier�bulkheaa,structure, and the proposed location, and I have no objectio-ls
one
to the proposal. I understand that if the development is a pier, it -,,L:_st be
set back a miniTnm distance of 15 feet from my area of riparian access unless
waived by me. do wish to waive that setback regairament.
cle one
Description Fnd/or drawing of proposed development: (to be filled
in by individual proposing development.)
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(Original rust be retained in the Inspection Department)
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Signature
Alf 4/E
Name (PIease Print)

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