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HomeMy WebLinkAbout14836_STEPHENSON, HAROLD_19950920CAMA AND DREDGE AND FILL GENERAL 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 15A NCAC — c"YrI . /r'e-o Applicant Name 7tlr?oc./ Address !.3 `+ Phone Number " f 7 y f City, State =J �zip) Project Location (County, State Road, Water Body, etc.) f�,: q� / f�' ��'' i U .'i A j't -rLh -tg_ �'kYL4.�.!' •Y�i�.0,;;/", Type of Project Activity A-r-- F'r,,-) P,-7d t PROJECT DESCRIPTION Pier (dock) length MENNEN No 0 0 Groin leneth 'I II/■Ei�rME■O■■■EEIM11 MENNEN Now ►�■■■■■ : //��NN■■N��■0Zi�UMEM■■IY" ■■ ■ ■■ONE ■■■E■■RMEN■E■E■■■■ ■ INEM NOON ■■ ■■■■vim■■■■■i■■ ■E■■ ■■■■NONE offshoremax. distance ON■■■ ■NE■E■■■■■■NNE■NONE Basin channel dimensions— so F3 F MENNEN ■■rN NOON■■ ■i■r-■■ ■■ Z Isom No WOMEN ON ■■■N■■■i� 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- come null and void. 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 i ) 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. ! 17JI applicant's signature ^T pefmit officer's signature issuing date expiration date attachments In issuing this permit the State of North Carolina certifies that this project is consistent with the North Carolina Coastal Management Program. application fee DAVID V. HODGES NCDL 01999167 EXPENSE ACCOUNT BOX 148A PH 745-7018 MERRITT. NC 28556 PAY TO THE / ORDEROF F FAST CITIZENS �77 17 A 1►ili Fhp-Cllleens Bank A lrua Company f���� Oriental, NC 28571 0922 66-30/531 19 $SAC'✓ '' v !SDOLLARS FOR —JAW".) ,: 60A1y936-c I:0 5 I L00 300':4 7 L 70 2 2 6 L 61I' 0922 POBOX 776 PAMLIGO COUNTY BUILDING 1NSPEGI-IONS BAYHOR0, N.C. 28515 (919) 745-3861 (After this form is completed by the landowner proj)osing the project, a copy is given to his/her adjacent landowners for their consent and signatures. The corms are then returned, along with a building plan and other applicable required information, to the Building Inspections Office for building permit application/processing.) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT EPN4f [ hereby certify 's Name of landovdner prop6 ing deve a t ,,��rr�� in/nearyY/�yJ 1 �p community Tax Parcel # off SR/S =-L. that. 1�0 property adjacent to on p" e5 e v body of water of ese Subdivision, if applicable Complete description of how to locate this property: A/0ese &1/j/,/ �yi e„r�� % Rf l� be. /J 46-1 Z The proposed project, at)e 4 wand the location has been described to me as shown in the drawing below and I have no objections to the proposal. FOR A PIER, CHECK ONE OF THE FOLLOWING: I wish to waive the 159 minimum setback from my riparian access. I DO NOT wish to waive the 15, minimum setback requirement. e•**•,ttt�**:**+r****+►**sw**,►�,t**+rww,t,w****w,►•s►a***rr+t****er**::t��r*��r�*�* Draw the proposed structure in the space provided below. List the size of the structure and measured distances from the adjacent property lines, other structurpA nn the POHOX 776 PAMLICO COUNTY BUILDING INSPECTIONS BAYHORO, N.C. 28515 (9.19) 745-3861 (After this form is completed by the landowner proposing the project, a copy is given to his/her adjacent landowners for their consent and signatures. The corms are then returned, along with a building plan and other applicable required information, to Ye Building inspections, Office for building permit application/processing.) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT EPNO I hereby certify that 1 o property adjacent t Is Name of Ian owner roposing development in/near _ p_&J O , Lot# community Tax Parcel 4D off SR locate this property: //✓ o on body of water of ps'e XI/" �e- Subdivision, if applicable Complete dd r' tion of how to The proposed project, a Act GJj4 `� v and the location has been described to me as shown in the drawing below and I have no objections to the proposal. FOR A PIER, CHECK ONE OF THE FOLLOWING: I wish to waive the 15' minimum setback from my riparian access. I DO NOT wish to waive the 15, minimum setback requirement. r:a►•t**,e�ree*+t**+t**t�►*�►*#***,►�******ss,r�****#*�t�r�*�*+ttt�**�tt�+r:��r**st�,r Draw the proposed structure in the space provided below. List the size Of the structure and measured distances from the adjacent property lines, other structures on the property, and the road. warA,-_ of� Date