13126_DEAL, WILLIAM_19940719

CAMA AND DREDGE AND FILL
GENERAL C,
1
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 I ' ' 901�'
1
Annlic..ant Names 1,("1 o ° 1( 1i , +, 1''4! _,
Address t f-
City A
Project Location (County State Road, Water Body, etc.)
Type of Project Activity ' 'r
Phone Number ' . G' F� r
State
.t, C
ti, s
_ Zip P 5� 5/s%
PROJECT DESCRIPTION
Pier (dock) length
SKETCH
I I
+�
f t
n
ry j
7 bfr
)
t Tt
77-7
I j
+
(SCALE:
)
Groin length
number
Bulkhead length
distance offshore
I
Basin, channel dimensions_
cubic yards
Boat ramp dimensions—
Other
it
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-
fs consistent with the local land use plan and all local
ances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
objections to the proposed work.
t
Jl applicant's signature
permit officer's signature
issuing date expiration date
r 1 ,
attachments �' `-" � � %/ � Ld f ' "'
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
application fee

WILLIAM L. DEAL W1.62531 CC 1527
JOY C. DEAL
59 INDIAN BLUFFS DR PH 249-2017
ARAPAHOE, NC 28510 19 ze
Puy To The — ��`
Order Of
all Dollars
Wachovia Bank of North Carolina, N.A.
\cw B�•rn_\C�+:�i1�11 _
1:0 5 3 LO L/5 291: 5802 6 389901I1 L 5 2 7 `

Kli3t'X 770 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
s16r:atuLes. 'The forms are then returned, along with a building plan
and )bier applicable required information, to the Building Inspections'
Office for building permit application/processing.)
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT EPN#
I hereby certify that I own property adjacent. Co
—0 Is on O
Name of landowner proposing development body of wat r
in/ near/%//Q°//j%�.��f//L� Lot�F of�
comaunity Subdivision, if applicable
Tax Parcel �i_1-<:'`;'=: - /� off 5
�30� s— �_______• Complete description o
r
locate this property a —
1 he proposed p ect,�a�u
described to me as shown in t ra and the location has been
to the proposal. �/ below and I have no objections
f FOR A} CHECK ONE OF THE FOLLOWING:
1 wi§h to waive the 15, minimum setback fr
om ey riparian access.
I DO NOT wish to waive the 15' minimum setback requirement.
#***#tRttttttt#ttt*ttt*#*##*#ttykt#*t*t}r**ttttRt*ttttt#*t**#tttt*ttRt*#
Draw the proposed structure in the space provided below. of the structure and measured distances from the adjacent List the size
lines, other structures on the j Property
property, and the road, water, etc.
FL
C,
Date - 1 3_c Signature j
-'J

P08t" 770 PAMLICO COUNTY BUILDING 1NSVI-C'11ON5 BAYBORO. N.C. 26515
[phone]
(After this form is completed by the landowner proposing the project,
a c-opy is given to his/her adjacent landowners for their consent and
siar:atuzes. the forms are then returned, along with a building plan
and (bier applicable required information, to the Building Inspections'
Office for building permit application/processing.)
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT EPN#
I hereby certify that I own property adjacent. ro
4 _
Name of landowner 's on .�� (� ,z_,�
proposing development body of.water
in/near�/�./�/Yo�('�1 i3G,s0 Lot�i _ ofb�� n G/
community Subdivision, f pplicable
Tax Parcel #_-,; �;%z/ - /p off SR Complete description of how to
locate this S piopez'fy: 1;i.,,.12/
The proposed project, aI-V : 9 and the ocation has be
described to me as shown in the cawing below and I have no object onsen
to the proposal. ;j 6j�
1 wish to waive0the l miniECK mumNEOF setback HE FOLLOWING:
from my riparian access.
I DO NOT Nish to waive the 15, minimum setback requirement.
r***t.t•t*+tfi*+e*,�.*t.s**********t►,rr*+►tart►**+R*R�+t****ftte*,t*,t****,t+t*:*,�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 structures on the property, and the road, water, etc.
� 0 /;;0, 7
r 7-
�- f417
&JYr to % gnature
P t