12031_DUNN, PHILLIP_19931023

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 15 NCAC ' ' % `' F
Applicant NAme r� Phone Number c� 711
Address
City State Zip f
project Location (County, State Road, Water Body„etc.)
Type of Project Activity
r
PROJECT DESCRIPTION
,�j�r length
11
G roip I igth
number
Bulkhead e th
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
SKETCH <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.
(SCALE:
l /] applicant's signature
permit officer's signature
issuing date expiration date
attachments ry ( / �/ /, ( ;/
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee
Management Program.

t
. . . . . . . . .........
DAVID V. HODGES NCDL 01999167
EXPENSE ACCOUNT 272
P 0 BOX 87
MERRITT, NC 28556 66-30/531
PAY TO TH
ORDER OFE D
FIRST CITIZENS BANK
First -Citizens Bank & Trust Company 472
Oriental, N.C. 28571
FOR_ Yi/�/ �Upc.l�Vu� , j+r
4: 0 S 3 1003 0 01: 4 1 0 2 2 6 16 0272

ADJACENT RIPARIAN PROPERTY OWNER STATEMErTr
i hereby certify that I own property
>roporty located at '-J� Iti.
adjacent to ,4 Z ^✓44
n
/ (lot, block, road, etc. _L
)n in e��4 C-) N �auN z j
(body of water) (town)
forth Carolina in Pamlico County. The proposal has been described to me as shown below;
be development, a pier/bulkhead/structure, and the proposed location, and I have no
(circle one)
bjections to the proposal. I understand that if the development is a pier, it must
,e- set back a minimum distance of 15 feet fram my area of riparian access unless waived
)y me. I. do/do not wish to waive that setback requirement.
(circle one)
(ascription and/or drawing of proposed development: (to be filled in by individual
>roposing development.) INDICATE THE SIZE AND LOCATION OF THE STRUCTURE AND THE
' [STITCE 13ciwEEN EACH PROPERTY LINE AND THE WATER.
�l _ �Z ` /*
,3y /� �� /
(Original must be retained in the Inspection Department)
bigoature
a e'9.3 ------
Name,. (Pleases_.--_--

I hereby certify that I
>roperty located at
property adjacent to
0
(lot, block, roadXf,
tc.
n ,o �y in r
( ) of ater) tom)
Forth Carolina in Pamlico County. The proposal has been described to me as shown below;
.he development, a pier/bulkhead/structure, and the proposed location, and I have no
(circle one)
;hjections to the proposal. I understand that if the development is a pier, it must
,e set back a minim= distance of 15 feet from my area of riparian access unless waived
)y me. I do/do not wish to waive that setback requirement.
(circle one)
ascription and/or drawing of proposed development: (to be filled in by individual
proposing development.) INDICATE THE SIZE AND LOCATION OF THE STRUCTURE AND THE
' ISTITCE BFIWEEN EACH PROPERTY LINE AND THE WATER.
Apr
d
1 C
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(Original must be retained in the InspeFion D nen�)

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