16969_JOHNSTON, GARY N_19961231

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CAMA AND DREDGE AND FILL
GENERAL
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PERMIT
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 G'NI• /2ce.
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Applicant Name " �, �• �l'�i�/�• ��"''t-"'
i
Address 41,E �,, Z Zra; /
City t rA1rd
Project Location (County, State Road, Water Body, etc.)
Phone Number-0'�`' :fh/'' %I'
— State =`�'" zip <ir i S
1..41NI i
Type of Project Activity.,.
PROJECT DESCRIPTION
SKETCH (SCALE:
Pier (dock) length-l�:-
rFrtr.Frf!-
/ _ 4f--)
ts _t_jr _di -
Groin length
number
Bulkhead length
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ji,
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max. distance offshore
Basin, channel dimensions-
1 --T—
, 1
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cubic yards
Boat ramp dimensions
Other
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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.
applicant's signature
permit officer's signature
/L- 31 "'fit
issuing date expiration date
attachments 1)21.1
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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application fee

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to On
's property located at
(lot, lock, road, etc.)
on _� v- in N.C.
(body of water) town and/o cr of y
The proposal has been described to me as shown below; the development, a
0Pier bulkhead / structure, and the proposed location, and I have no objections
(circle one)
to the proposal. I understand that if the development is a pier, it must be
set back a minimum distance of 15 feet from my area of riparian access unless
waived by me. I do o n'dI wish to waive that setback requirement.
rescripticn and/or drawing of rrqmsed de, lgrezt: (to be filled in by individual
PrqDcsing de�elgarazt. )
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(Original must be retained in the Irisp�tirn Iq-artnat)
Signature
Name Please Pri

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Lran a�Ll
is property located at LK�-- g A (�� ar rJ,le v --jp
I 1 (lot, lock, road, etc.)
on _� lr �E� l`� in _ ( rni� <:�) Qi t �4 f N.C.
(body of water) town and/or county
The proposal has been described to me as shown below; the development, a
pier bulkhead L structure, and the proposed location, and I have no objections
pier
one)
to the proposal. I understand that if the development is a pier, it must be
set back a minimum distance of 15 feet from my area of riparian access unless
waived by me. I d do not wish to waive that setback requirement.
D-=ipticn and/or drawirg of peropesed developrmt: (to be filled in by individual
proC-csin9
I.cc
vrci s.00 .rc.raM �
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_________________.—_,__---
).PD,LO.iON
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(Original mast be rr-- l d In the InspectlQl D2p3rtmt)
ignature
Name (PleasPPrin�t)�-

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DAVID L. MAUGHON
DONNA M. MAUGHON NCDL 3929115 ss-11z
PH. 249-1102 531 1028
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P.O. BOX 805, PAMLICO RD. 5114235743
ORIENTAL, NC 28571
1901
BT, .,
3 5-T YR OKN PAL IIIIILGiB
NEW BERN, NCCE DRIVE
285.6�0{-
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3571,311--