17274_ZIEMBA, JOSEPH_19970515

CAMA AND DREDGE AND FILL C
GENERAL ;A,,. 017274-
PERMIT
as authorized by the State of North Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission 4
in an area of environmental concern pursuant to 15A NCAC
Applicant Name `r;
Address P r! . �; c' x t.
City We r /, 14
Project Location (County, State Road, Water Body, etc.)
Phone Number
State Zip
Type of Project Activity �>� �,- +/ = dS ' e", n.,-.!
/. c c-,J I' _ 4
PROJECT DESCRIPTION SKETCH (SCALE:hs )
Pier (dock) length
1,4
Groin length
/ Gt _ r
number ?rc
Bulkhead length !S.y/ !, )�wf' �•.
max. distance offshore
Basin, channel dimensions ~'
92 E F
cubic yards N' y —• --.
Boat ramp dimensions ,ram`/ '� r• y` �'r Al
Othersr:s/
Z, tq i(zvPc 1� fi
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.
i n"
—�'
applicant's signature
permit officer's signature
j 7
issuing date expiration date
attachments C'?H' '? 0'''
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee
Management Program.

DAVID RUSH CONSTRUCTION
P O BOX 190
ORIENTAL, NC 28571
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0FIRSTLlCITIZENS
A rW ret-clu s Bank B Wan sf Compy
j„�� HOrleen
nlal, NC 28571
FOR �P ;P� Ol7Z711-C
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66-301531
$ SO v
DOLLARS
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PO X 7761
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Printed Name
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PAMLICO COUNI'_.BUILDING INSPECTIONS BAYBORO, N.C. 2 515
(91)) 745-3861
form is dompleced by the landowner proposing .the projec
ven to hid/her adjacent landowners for their consent an
The for s are then returned alon
g ng with a building plax
p>plicable equired information, to the Building Inspections'
uilding permit application/processing,)
ACENT RI ARIAN PROPERTY OWNER STATEMENT EPN"
i h,:reby certify that I own property adjacen to
d. e h Zieniba Is on Bay River
of 1 owner prgposing development bod of t
y wa ei
in
Isar
FlorJnce
Lot# 10 of Bay Shores Estates
IFmmunity
Subdivision, if applicable
T
arcs
' )JO-43-3-
10 of: S 1 324
,.. Complete description of h
w to
to
to th'
property:'
Ht,lY 55 to Merritt, turn left on SR 1324
Fitrence
!I I
Road, 3:6
mil:,s to Bay Shores Estates,. turn left
#.526
de;
to
Dr.
of
3.1
�propo ed project,IBreakwater/Sea Wall
ribed , and the location has been
�to me as sh wn in the drawing below and I have no objections e pro osal.
A IER, CHECK ONE OF THE
I wish to was e0 t e 15, minimum Setback omOLmLOWING:
y riparian access
I DO NOT wish to Waive he.•15' minimum setback requirement.
the prpposed str�cture in the space provided below. List the 'size
the structure and measured distances from the adjacent property
Is, other structures on the property and the road, water, etc.
Proposal.
Rep s rock s�a wall at Lot 9, 10 corner
Install four breakwaters. Lengths: 32',32',56',32'
Iwitl� dotal ft. 152'. Locations have been staked for
inspection.
I'
Pla t, a
� i ppropr;ate grasses landward'of breakwater.
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SEE iP
n
POSED RAWING ON OTHER SIDE
J ,
:Daj�e4/18/97 Signature_

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3 X 7761
111
(A ter tt
a y is
s.i ture
and other
Office fc
Naga—" of 1
PAMLICOICOUN Y.BUILDING INSPECTIONS BAYBORO, N.C. 2 515
(" 19) 745-3861 '
;form is 9omplt.ted by the landowner proposing.the projec ,
Tven to hip/her adjacent landowners for their consent an
: The fors are then returned, along with a building pl
t plicable �equired information, to the Building Inspection
+� uilding ermii application/processing.)
JACENT RIpARI, 1 PROPEI 'rY OWNER STATEMENT EPN# --
�I I l.ereby certify that I own property adjacen
se h Ziemba Is on Bay --River
T
owner pr4osing development body of water
II II ,
to
in
T
ear III Florence Lot# 10 Ba Shores Estates
— of Y
,�ommunityl Subdivision, if applicable
Parce ;JO-43-3�1 0 , f SR_� 324
- Complete description of how
to
to
to th s, property:, HWi 55 to Merritt, turn left on SR 13
tenc (Road
4
Fl
n i _ '
3.5 ..li_ _s to may Shores Estate5, turn left
#526
Th
de Iribed
to
proposed project, IBreakwater/Sea Wall , and the location has
to me as shown i.i the drawing below and I have no objections
the proposal.
FOR A PI:R, CHECK ONE OF THE FOLLOWING:
I wishito waive t e 1_`' minimum setback from my riparian access
been
I DO NOT wish to waive the 15' minimum setback requirement.
w the proposed structur.: in the space Provided List the
the structure and PeasuLed distances from he adjacent below.
Is, other structures on the j Property
propertyp and the road, water, etc.
ww
ize
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Dr
of
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Proposal.
1 . f
(Repa�lix rock sea wa 11 at Lot 9, 10 corner
2.Install four brea}.raters. Lengths: 32',321,561,32'
iI!with total ft. 152'. Locations have been staked for
inspection.
II
3.``1 f Plant; appropriate jrasses landward' of breakwater.
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SEE IP 20POSED RAWIAG ON OTHER SIDE
Printed Name n,,,, F
Date 4/ 1 8/ 9 7 Signatures �� i.

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