12109_JOHNSTIN, HARRY_19940126

CAMA AND DREDGE AND FILL Q
GENERAL111109
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 15 NCAC // //(
Applicant Name H cT b
Address^ -
City _ - ti fie ,-
Proje/ct Location (County, State Road, W
Type of Project Activity W �?
PROJECT DESCRIPTION
Pier (dock) length
Groin length._
number
Bulkhead ength
max. disjance offshore
3-
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
/-,
Phone Number
State Zip
;r Body, etc.) %
SKETCH' S Tf4 (SCALE: )
i F i
i f r
_ _
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- 1 ) G
come null and void. F 0
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
is consistent with the North Carolina Coastal
project
Management Program.
applicant's signature
permit officer's signature
issuing date expiration date
attachments.'
application fee.

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 DEHNR
OF:
Gpc- �2►oq
G.P. Johnstin
hl8dli�l� t, :; f ;, .t„1 I., 1uu,i I,m,�
DATE
01-26-94
II'00006425'in i:0531076331: 5806 000907118
6425
AMOUNT
$ 50-00/100
SIGNATURES REQUIRED

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ADJACENT RIPARYAil PROPERTY OWNER
STATEMENT
' t ' hereby . certify that
I -own property
adj ac(inti to T y ' • , _ _.
nrsu
's propextiy::located -at
;, ' ,,3,... •$ -.,(Name : of, Propbrty.
owner}
.j,�• '... ��
II
I
�
z,. • . ,�,
A.03
(Iw ..I�
.
+�:;,•., r, ,'' '
(Lot,
Block, Road, .etc.)
on ";;1 U�;
•. • (Waterbody}
. ( Town
hnd/or County)
He` as 'described to'me,, as shown below, .the development ' he is .
proposing at that *, location, .and; .I have no. objections to. his
proposal. '
DESCRIPTION AND/OR"DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by individual. proposing development)
SigUature .
Print or Type Name
Telephone Number ,
r; Date
�+il' a,oP

ADJACENT RIPARYAu 1'R4PERTY OWMER STATEMENT dz '
Whereby -certify, •thaC Y oFm -property-adjaoentirbo
M -ar, •.. �" N' s 'propeztiy::lo'ca�ed at
>(Name bx rty.Owner)
(Lot, Block, Road, .etc/.)Wilk
(Waterbod j - � c3 • (�� ,� �13 � ' �4 Fv, •N. G. ..
y (Town d/or Coun
t
)
'He; has' described to.'me, as shown below, .the development. he 1s . '.
Ipropositig 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 dev
elopment)
e • P Po g nt
., Pm )
III
• Signature .
J/Uw<7 Ira/ Cr .7 r4�
Print or Type Name
. gib
Telephone pumberr
Inc . ••' . / Z� , •
Date
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