14703_SUGG, JOHN_19950511

CAMA AND DREDGE AND FILL
V GENERAL 14703
PERMIT ` (-B�
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
iin`a'n'area of environmental concern pursuant to 15A NCAC 07 f'Lr /Zoo
Applicant Name , /0 tI-,Y Phone Numbedw91';` 779 V1 U
Address —T10. Z'c•)' 9e0--5?7- aw"
City _ State PVC zip � %� � fZ
Project Location (County, State�Road, Water Body, etc.) 1t1 : `ram
Type of Project Activity ter- 5 1�.r < � 14e k3 a %o {�sA/�
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PROJECT DESCRIPTION
Pier (dock) lengths✓o�—•_.o—,
SKETCH
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Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
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cubic yards
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Boat ramp dimensions
Other —Nor.
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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,
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imprisonment or civil action; and may cause the permit to be—
come null and void.
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This permit must be on the project site and accessible to the
permit officer's signature
permit officer when the project is inspected for compliance.
/
The applicant certifies by signing this permit that 1) this pro
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ject 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. /0 Z
Management Program.

DAVID SIMPSON CONSTRUCTION CO. INC.
800 BROAD ST.
P. 0. Box 590
ORIENTAL, NC 28571
9—IS
PAY
TO THE NCD EH �JK
ORDER OF
UUu
FIRST CITIZENS
BANKfifSt Cifil0fli lank & 11W Company
kywo, NC 25515
FOR
11100010420110 I:053 100300':L,7 11007 9118
10420
"-301531
—19- $ 150. Do
61.

ADJACENT RIPARIAN PRO ER OWNERSTATEMENT
•MAY • ' '�
I hereby certify that I ow� property adjacent to o � - I
• property loaatted at LOTS
on Rev ot, oc road, • a.
,(body of �,
in
North Carolina in PAC'MEro County. The proposal has been described to as
•as show belows the development.& pier�afar ulkhead s and the proposed
location, and I have no objections to thercle proposal. I understand that if the
.development is a pier, it must be setback a minimuWdodo
of 15•feet from
xW area 'of riparian &aces$ unless waived by me. I o wish to waive
that setback requirement.
«wwrir*ter*wt�rireerw
Description and,/or drawing of proposed developments Indicate the size •and•.'
location of the structure and the distance between each property line and.,:{�
the water.
JONF-S
01, oS •
_> Ex1s--rM4 SULY-HgAC G3
�`---EXISTING DO—K
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a
(criginal•must,be re
FKofCsF_p LIF7 +
_9iXF 14 X 3 V
PRoP01OF D 4, WALKWAY
Ithe i nsp
aj4pature a
name/please
-1
WALkER �2

QaAgENT RIPbala-FROPEM J00j
hereby certL4 that I ow� property adjacent to
]Wopex"W located at. LOT 11 5
[In+- h1^f%1e_ vonjaA &+
an N'F= L.L-<,g. RMVP Rto
so" , - - INMMMMMIM�
(body or water) ttown)
,Nam Carou" in PAMLZC"County. The propoma Us been described to nee',.
'.!*a Xh0%M.b"0wj the development,& 21er/bulkhegd6i� and the proposed
1 (circle
3.0"t1=#' and thave no Objections to the proposal. I understand that If the
Asyelop"Ut is a pier it must be not back a minimum distance of 1$ f"t.fron
Av area iof sian aQzasa ualearm by me•
that sratbaok requirement.
010MIN Nags NO eft**M
Description and/or drawing of proposed developments Indicate the size and
location OC the structure and the, distanoe.betwoon sash property 2,ine and,,.,
the water.
WIT
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PRO Ll Fr
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MM)6M t> W"WAY
4
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(original -n4st -be reteda d the inspections department)
(tignatUre and. 4A%$)
_(name /please print)
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