26929_FAULKNER, J. W_20001002

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Applicant Name
Address
City
CAMA and DREDGE AND FILL
G E N E R A L 26929
A^,,, �FIlet-
PERMIT Auc_
as authorized by the State of North Carolina ' ? i t f Jut } i G ' "I('
Department of Environment and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15 NCAC
State
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
Phone Number f „Q 272 72f' 7?lb
Zip
PROJECT DESCRIPTION SKETCH
Pier (dock) Length + 1
Groin Length
number
Bulkhead Length
max. distance offshore
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Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other ! 1 i i
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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 + A
may cause the permit to become null and void.
This permit must be on the project site and accessible to the permit of-
ficer when the project is inspected for compliance. The applicant certi-
fies by signing this permit that 1) this project is consistent with the local issuing date
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.
applicant's signature
permit officer's signature
expiration date
attachments
application fee

MR. OR MRS.
DL 1724797 J-W-FAULKNER
3304 CAREY RD PH 522-0581
KINSTON, NC 28501
1220
DATE_ 4 66-152/531
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FOR
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333 •fin 1 2 20

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER/UNCOVERED BOAT LIFT)
I hereby certify that I own property adjacent to _� _(� . `t'-ANC 's
(Name of Property Owner)
properr/ located at O �o T _ - 5-1 _ _
(Lot, Block, Road, etc.)
on JAQE q H—A4 in C- ?C `� C—ff ,N. C.
(W'aterbody) (Town and/or County)
He has described to me, as shown below, the deve!opment he is proposing, at that
location, and, I have no objections to his proposal. I understand that a pier/uncovered boat lift
must be set back a minimum distance of fifteen fit (15') from my area of riparian acoess unless
waived/by me.
✓ I do not wish to waive the setback requirement.
I do wish to waive that setback requirement.
--------------------------------------------------------- -----------------------------------------------------------
DESCIR=ON kN-D/OR DRAwT NNG OF PROPOSED DF- ELOP' MN-T:
(To be filled in by individual propos-ing N ent)
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Telephone Number
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Date: � G Q o

ADJACF.N'T RIPARTAN PROPERTY OWNER STATE
(FOR A PIERIUNCOVERED BOAT LIED
I hereby certify that I own property adjacent to T, W • :FA LAoepFP-
(Name of Property Owner)
i
properly located at l D61-1-----_-5-T.--___--
(Lot, Block, Road, etc.)
on
iY1�DE �flN �_, _--T`--q7C �C N.C.
(Waterbodv) (T�wn and/or Countv)
He has 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/uncovered boat lift
must be set back a minimum distance of tir'te-n feet (15') from my area of riparian access unless
waived y me.
I do not wish to waive the setback requirement.
I do wish to waive that setback r!!auirement.
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DESCRIP ON kV-D/OR DRAIN-rWT OF PROPOSED DEVELOPMENT:
(To be filled in by individual proposing development)
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