14783_BEMIS, WILLIAM & CLAUDIA_19950823

- CAMA AND DREDGE AND FILL
GENERAL
PERMIT avr
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 !Ziff,
Applicant Na L {J'�C"'as : ' (%Frt�[" a �. !r ,; r Phone Number
Address
r.
City.C1'::'i
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
G�4 r�a.d
91
State
T
f
zip ?., C/U
PROJECT DESCRIPTION
Pier (dock) length
SKETCH
(SCALE:
a
Groin length
—,t��✓s
f� 'Vc'''
i
f—_
number
.Bulkhead length
.. .-•
r
'r
a
1
Nib
3.
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
� '
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
A/ F13 Zv, -�6!
permit officer's signature
issuing date expiration date
attachments r/ 1160
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
application fee 4ej�6 0,0 r'f�i' (e

v
CLAUDIA S. BEMIS
NCDL 2233346 PH 249-0670
RT 65 BOX 117-8
ARAPAHOE, NC 28510
PAYTO
ORDER THE
ORDER OF
0 n_
ABOVE THE FRUITED PLAIN
4376
66-30/531
ITIZENS �,� Doi.1,�Rs
rle jo4 N r Bank A Gal Company
C 78571
FOR i
�.053100300i;4717,12573/
�+ 3 7 5

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 EPN#
I hereby certify that I own property adjacent to
/ I I
L� L i'rn rrt �� 1' �� ��, r' CT�n - '7S—��Is on
Name of landowner proposing development body of water
in/near _ Q ► rvn 'j-n Lot# of_ �i�I�i/A �20 e r
community Subdivision, if a plicable
Tax Parcel 0 off SR Complete description of how t,.
locate this property: 04-f S k ( 3G)_
/\Jea j2 L)-A w,s it,�P
P�
i e-rl rACl
r ]FJ Cr, n 7 , f'' ZAV11
�t�'n ✓ems ���$� (�.(i ��r.�CjsJ�
J �G�.
NCO
The proposed project, a , U Lt A/) , and the location has been
described to me as shown in the drawing below and 1 have no objections
to the proposal.
FOR A PIER, CHECK ONE OF THE FOLLOWING:
1 wish to waive the 15' minimum setback from my riparian access.
1 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, other structures on the property, and the road, water, etc.
printed T- Date Signature
J1Z- I lgg5

POBOX 776 YAMLIGO 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 EPN#
I hereby certify that. I own property adjacent to
t)I�I'cn,rt 1t-611,111c14C1 .:-S l6 d1'-., 's on <r
Name of landowner proposing development body of water
in/ 0, p) i Nn M Lot# of C'IqlAl A 6f'p e r
community Subdivision, if a plicable
Tax Parcel 4k off SR Complete description of how t�,
locate this property:_Cif U /3C2 Nec Q L —A 6CllJ C�e-(n
I C_- i e-i ' �4 1 NA ( 14 �c z`1 �. ✓? . r{'L . c p.4J)
The proposed project, a (.(ti.FM F 6 and the location has been
described to me as shown in the drawing below and 1 have no objections
to the proposal.
FOR A PIER, CHECK ONE OF THE FOLLOWING:
1 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, other structures on the property, and the road, water, etc.
N ime Date,_ 1� 3 Signature