12156_LAYNE, JACK_19940315

Applicant Name
Address — — —
City r'(
Project Locatior
CAMA AND DREDGE AND FILL
GENERAL /
PERMIT
4
0
ro,y
as authorized by the State of North Carolin;e//al
Department of Environment, Health, and Natural Resources andReso cg"O-M-M�
n
in an area of e vironment7-
oncern pursuant to 15 NCAC G-
�1 Phone Number
Type
of Project Activity
PROJECT DESCRIPTION I SKETCH
4" Pier (dock) length i r'
Groin length
number
Bulkhead length
ax. distance offshore
) Basin, channel dimensions
cubic yards
Boat ramp dimensions
I Other
// (SCALE: )
.1
i
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-l77
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This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. AnyX"
violation of these terms may subject the permittee to a fine, ' .
applicant's signature
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 _ per it officer's signature
permit officer when the project is inspected for compliance. -
applicant certifies by signing this permit that l) this pro -
is consistent with the local land use plan and all local issuing date expiration date
ordinances, and 2) a written statement has been obtained from •
adjacent riparian landowners certifying that they have no
objections to the proposed work. attachments
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee rt
Management Program. c� ?.' ,/V , �,

JACK M. LAYNE 1112
NCDL 1413263 PH. 637-5083
102 JOHNSON PT. RD.
NEW BERN, NC 28560 / 5 49- `f 6666=11212
531
BW
NANCM �AWItIWO ANO TI�WTCOM►AMV I
E N TH CAROLINA 26660
gnew
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1:053 10 112 D: 1 193 18030910--1-11 2

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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to t s
property located at -'er-C �lc_h_n_s__o_L.�t r �' `3 � � 1 on /7 c�6
ot, obl ck► roams a c. wa er`
�6J N.C. He has
o y o n and/or coup y
described to eye as shown below the development he is proposing at that
location and I have no objections to his proposal. I understand that a pier
rust be set back a minimum distance of 15 feet from my area of riparian
access unless waived by me. I doo rdo -no=t-wish to waive that setback requirement.
(circle one)
C
Descri _ _4r ....�,^^cari A&v.lnnmont-
individual
na,u
name
rl<� /
phone nuaoer
(to be filled in by

-5
\11 I " 4 1 - I

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to J atl ( I`�, T ' 's
property located at 0i, / Y,a ,e 1) . 11117 on
(Iot, block,-roa-d, etc.) (water
in r N.C. He has
--body )
"own an or county
described to me as shown below the development he is proposing at that
location and I have no objections to his proposal. I understand that a pier
must be set back: a minimum distance of 15 feet from my area of riparian
access unless waived by me. I do do no wish to waive that setback requirement.
(circ e one)
Description and/or drawing of proposed development: (to be filled in by
individual proposing development)
or
3?( s�gna ure ti
n an9c
A,(
Priumc it er

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