14760_VERMILLION, GORDON_19950621

CAMA 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 10%fX 116("I
Applicant Name Phone Number
Address0
City State zip '=o
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
-n-
"3 0
I
PROJECT DESCRIPTION
Pier (dock) length MMINIMININOMMUM-0 "_MMN
Groin length MW Z-VIN doom
number
. _ ,_ ■i PAUMM OPEN . ''�'�i,��■ ■■■
^■
■-ramwpmw: , ■■&I�M 4Lw ■■■
:- -. .` -_:�,. Iry i!Fw■■■ ■ ■ ■max. distance offshore
■■■
CL
1 Basin channel dimensions q@KA VP,
cubic yards M
Boat rampdimensions
Other
M —Vol
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 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.
applicant's signature
J permit officer's signature
issuing date expiration date
attachments 6 O '7 e //Oo
ifJjee'
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee 4�" der, Am- ew"� —
Management Program.
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 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.
applicant's signature
J permit officer's signature
issuing date expiration date
attachments 6 O '7 e //Oo
ifJjee'
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee 4�" der, Am- ew"� —
Management Program.

Gordon E. Vermillion 01194 0295
Linda E. Vermilfon
His DL 5150091 Her DL 4474777 66-30/531
2906 Hiffman Rd �— _
Kinston, NC 28501 � � l9 z
Pay to the
Order of $ ,5-6) °=
FIRST CITIZENS — Ql-,-CSt
BNK 2ns'1o2" "Bank d NO Company
�,l_ Klnslon, NC 28501
For C A ti-I,-+ OR
1:0 5 3 L00 3001: 1 5 L 5 3 9 3 288u' 0 29 5
0

776 PAMLICO COUNTY BU1LDtNG 1NSPECTION3 BA1'BOR0. N.C. 213;15
(919) 745-3B61
l:zer this form is completed by the landowner proposing the project.,
a copy- is given to his/her adjacent landowners for their consent and
sisnAtuLes. 'the forms are then returned, along with a building plan
an( itner applicable required information, to the Building Inspections'
Office for building permit application/processing.)
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
EPNtF
i hereby certify that I own
? tifproperty adjacent. Cv
s on 6 ,'l iJ -C� 0 .L 0 !e .F.Z-
Name of landowner proposing development --
body of water
in/near1�S.�Yl3r; 2 t Lot# of
community Subdivision, if applicable
Tax Parcel !i off SR
Complete description of how to
locate this ) _ �. r=4'.+t. �7`3��v
property: � 7.n! � ;_ � r'r� --
P)Lr r-- i2-11;41(Z L`i%il,, C, :.:;,It
The proposed project, a
e location has
described to me as shown in the drawing below and I h ve no objecti been
to the proposal.
_ 01 wish to waive iR SR A �minimum setback fro . CHECK ONE OF THE FOLLOWING:
m my riparian access.
I DO NOT wish to waive the 15, minimum setback requirement.
*t,c*•t*�*tt��,r*t,taw,►,►,t**,r,►,r,tfi��*,r,r,r*A,t***,►+r***,t�tfR�*sA,rk#,t*R,►+t*t**t,►,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, water, ero
7-0
A, �iJ)� r C- Date. l ignature _ - ,

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