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� /
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Type of Project Activity
A-r-- F'r,,-) P,-7d t
PROJECT DESCRIPTION
Pier (dock) length
MENNEN
No
0
0
Groin leneth
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MENNEN
Now
►�■■■■■
:
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■■
■
■■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-■■
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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
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FOR —JAW".) ,: 60A1y936-c
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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