13840_GREENWALD, BRIAN_19941109

Applicant Name *''
Address
Citye!�,
CAMA AND DREDGE AND FILL
GENERAL
�P
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 0;�%'f• WOO
,,��,rftnJ T7s2a<f.tdEJA4 i3 Phone Number
Project Location (County, State Road, Water Body, etc.) —
Type of Project Activity
PROJECT DESCRIPTION SKETCH
.,
i -I ..,
Pier (dock) length
Groin length.
number
Bulkhead length
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.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
State ��%L� zip
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applicant's signature
permit officer's signature
/r9,r
issuing date ', expiration date
attachments I rl • //
application fee •--/�—' e � "��' �.�

BRIAN L. GREENWALD
SHARON JACHEM
PH. 410-675-1024
1108 SOUTH STREEPER STREET
BALTIMORE, MD 21224
PAY i
to ur tr f
A.
3415
��<< � 7-611 as Go
MERCANf LE -SAFE DEPOSIT & TRUST COMPANY
4952 MERCANTILE ROAD
BALTIMOOR"^E. MARYLAND 21236
Fur C7 13fijl2
1:0 5 20006 LB1: 3 L. I s000 19 ? 10 ??I'm
i
Dollar.,

I hereby certify that I own property adjacent to Lot #16
property located at Bell Point Subdivision
(lot, block, road, etc)
on Bay River & Rice's Creek in Township #2
(body of water) (town)
North Carolina in Pamlico County. The proposal has been described to
me as shown below; the development, a ier bulkheaducture, and the
ine)
proposed location, and I have not objection to the proposal. I under-
stand that if the development is a pier, it must be set back a minimum
distance of 15 feet from my area of riparian access unless waived by me.
I do do nono—�t_`,"aish to waive that setback requirement.
(circ e one)
Description and/or drawing of proposed development: (to be filled in by
individual proposing development). INDICATE THE SIZE AND LOCATION OF THE
STRUCTURE AND THE DISTANCE BETWEEN EACH PROPERTY LINE AND THE WATER.
Y�i.l..�r✓� �`Y' �"�`�iyT
(Original must be retained in the Inspection Department)
Signature
,;J !-n cc--, C
Date
YY���k�neit-
Name (Please Print)

ADJACENT RUAIUAN - �Rv nwr1FR STATEMENT
I hereby certify that I own property adjacent to Lot #16
property located at Bell p(A n t Subdivision lock, road, etc)
on Bay River & Rice's Crrrk in Township #2(town)
(body of water) The proposal has been described to
North Carolina in Pamlico_ County. _
me,nt, a ead structure, and the
me as shown below; the devolop one)
proposed location, and I haVO not objection to the proposal. I under-
stand that it the development is a Pier, it must be set back a minimum
°= riparian access unless waived by me.
distsnG* Of 15 feat lronttty area
I
w h to waive that setback requirement.
(cir
Description and/or drawing of proposed development: (to be filled in by
individual proposing development). INDICATE THE SIZE AND LOCATION OF THE
STRUCTURE AND THE DISTANCE BETWEEN EACH PROPERTY LINE AND THE WATER.
V.
(Original must be retained ill the Inspection Department)
Signature
S- 2G -9-`y
Date
KukI
Name (Please Print