15981_COX, BUTLER_19960229

lye
CAMA AND DREDGE AND FILL L ��
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 1)-7/1• /zoo
Applicant Name 1,4i'r ' aX g$? 17v1
/ Phone Number �,�_ q ;tg26.
Address '? (to 3 urieaZP11- i
City �i /r ,- 4, /
Project Location (County, State Road, Water Body, etc.)
-.f1-16.y1V'S.a,— el0/1oe"'.7
Type of Project Activity
PROJECT DESCRIPTION
Pier (doeky length
Groin length
number._
Bulkhead length
max. distance offshore
Basin, channel dimensions
SKETCH
k
cubic yards
Boat ramp dimensions
Other T ivC."i A
K.
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 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.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
State AI C 1 Zip
�4. 4 /
eam�w
(SCALE: }
_-R,0 t70,S_0J
ti-8v ��j( fold LP8't�r � 0
v
U '
I'
$ •, - P/1
4
t.. u k n llc R r r
applicant's signature
permit officer's signature
issuing date J expiration date
attachments ()--? 0. P ?QQ
application fee 9 t✓.,c'' -f ffo 2

PAY
TO THE
ORDER OF_
DAVID SIMPSON CONSTRUCTION CO. INC.
800 BROAD ST.
P. O. BOX 590
ORIENTAL, NC 28571
"T CITIZENS `
f�ANKFlrsl-Clllzans Bonk d Trusl Company
Boyboro. NC 28515
FOR 61? iot as-98i- c
0000 L 10 7 2111
— L11-
1:053IDD300i:L.7 i LDO 07911
11072
66-30/531
DOLLARS

POBOX 776 PAMLICO COUNTY BUILDING INSPECTIONS BAYBORO, N.C. 28515
[phone]
(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 forms 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 EPNO
I hereby certify that I own property adjacent to
Mr. Butler Cox 's on
Name of landowner proposing development
Green Creek
body of water
in/near N P A r 0r;A„ral_ _ _ Lot# 54 of Sail/Loft
community Subdivision, if applicable
Tax Parcel #10 9 2 - 4 - 5 4 off SR 13 0 8 Complete description of how to
locate this property:
7403 Brigatine Blvd.
Q
The proposed project, a Replace Dock , 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.
Draw the proposed structure in'the space provided below. List the size
of the structure and measured distances from the adjacent property
lines. tether structures on the property, and the road, water, etc.
Printed Name �' _

POBOX 776 -PAMLICO COUNTY BUILDING INSPECTIONS BAYBORO, N.C. 28515
[phone]
(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 forms 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 EPNt1
I hereby certify that I own property adjacent to
Mr. Butler Cox 's on
Name of landowner proposing development
Green Creek
body of water
in/near Near Oriental Lot# 54 of Sail/Loft
community Subdivision,
if applicable
Tax Parcel # 1092-4-54 off SR 1308 Complete description of how to
locate this property:
7403 Brigatine Blvd.
The proposed project, a Replace Dock , 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.
P
_X _ 1 DO NOT wish to waive the 15' minimum setback requirement.
*rr�twk�+r******rr*«*,r*,r,t***,t*,tw,►w**,r*r***w***+t*«�*�'.F*w*x,�*+r,r**r+►rr***�*raw
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, etc.
1.
Project Description- Replace a portion of the
existing dock 4' x 190' in the same location
c'l
270z
R'epLJ cC #46Wr FognoN ror 70 EV-EM c.54r�-7-H of
E)UST74G P IM M. —
ri
,rinted Name 0. gAC,K _R_ ZTI t,JIL5PN Date. QS signature
1 `