16082_JOHNSON, MARK_19960418

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Applicant Name
Address O
City 1r i
n
CAMA AND DREDGE AND FILL `mil , j; 0160821
GENERAL
PERMIT <L ­7 -, 1,--a -v, —
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
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in an area of environmental concern pursuant to 15A NCAC
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Phone Number (��9^ 3�' 6 / 7 %
State /L" C Zip S-r
Project Location (County, State Road, Water Body, etc.) -I- ��`U I-, TS. �ell -/ h B � 5 "'r J
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Type of Project Activity / ^ ��G� L r l-t i 'n
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PROJECT DESCRIPTION
SKETCH
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Pier dock) length,
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4✓r
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Groin length
number
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Bulkhead length
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max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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This permit is subject to compliance with this application,
drawing and attached general and specific conditions.
violation of these terms may subject the permittee to a
imprisonment or civil action; and may cause the permit to
come null and void.
This permit must be on the project site and accessible to
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.
attachments
issuing date expiration date
In issuing this p ermit the State of North Carolina certifies that f_ 2 9
this project isconsistent with the North Carolina Coastal application fee v
Management Program.

6
66-112 6 31
531
DANIEL J. FOLEY, JR.
NCDL 802651 PH. 633-3613
300 FORT RD.
NEW BERN, NC 28560
BUT
.RANCH HANK,»G ANO TAU,TCOMrANY IIIiI
NEW KERN. NORTH CAROUNA 28560 C L
':05310 11 2 W51101 23584ii- 0631 -- -- --- -

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
(FOR A PIER)
I hereby certify that -I own property adjacent to
)Jr2 rm l4olc TpA,W.4 's property
Name
located at
on
(Lot, Block, Road, etc:)
in l 2Rr21"� C I? Id N. C.
(Water Body) (Town and/or County)
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 must be set back a minimum
distance of fifteen feet (151) from my area of riparian access
unless waived by me.
I do not wish to waive that setback requirement.
I do wish to waive that setback requirement.
Description and/or drawing of proposed development: (TO BE
FILLED IN BY INDIVIDUAL PROPOSING DEVELOPMENT)
Sh /z 0 —IT /J 12& W,., • j
Signature
Name _
Phone Number

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• A, RIP. �'�QFPi�'�Y OV1Pt 5mA�
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* hereby certify that I .owri Property adjacent to
G "s property
iL
Sala ,
i iocated- 'at 6 , on
f (Lot# Block, Road, etc.)
�.. T �" �.�...., in AIA5.g N.C.
Water. Y (Town and or County)
He has described to me as shown below the development he is
proposing at that location and I have no ob j ectiona to his,
proposal. I understand that a pier, must be Bret back $ minimum
distance of Fifteen feet (15') fra:t my area of riparian access
unless waived by me.
x do not wish to waive that setback requirement.
I do wish to waive that setwbaCk regtUrement.A
Deact`iption and/or drawing of proposed d€rvslopmentr (TO BE
FITL XN BY n MMDUAL PROPOSING DEVEWPMENT)
S gnature
ame
Phone Number
r.91

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