19831_BOUNDS, LEE_19980608

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CAMA AND DREDGE AND FILLx
GENERAL U 019831- C
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
Applicant Name Phone Number
Address
City State Zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity ]
PROJECT DESCRIPTION I SKETCH
Pier (dock) length
Groin length
number
Bulkhead length
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C I/ u. t t
,7., j .
max. distance offshore
Basin, channel dimensions LE f
cubic yards "�,�L ��� �, .�.
Boat ramp dimensions
Other
+. � r•1F,, L.�
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.
attachments
(SCALE: N( y, - _ )
applicant's signature
permit officer's signature
issuing date expiration date
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee
Management Program.

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DAVID SIMPSON CONSTRUCTION CO. INC. 12742
800 BROAD ST.
P.O. BOX 590
ORIENTAL, NC 28571 (� 66-30/531
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252- 24-1 o071
PAMLICO COUNTY BUILDING INSPECTIONS BAYBORO, NC
ADJACENT RIPARIAN PROPERTY OWNERS STATEMENT EPN#
I HEREBY CERTIFY THAT I OWN PROPERTY ADJACENT TO
MR. LEE BOUNDS ON SMITH CREEK
NAME OF LANDOWNER PROPOSING DEVELOPMENT BODY OF WATE
NEAR ORIENTAL LOT # OF
BLACKWELL PT. TAX PARCEL # 3082-43
SUBDMSION, IF APPLICABLE
OFF SR 1317 COMPLETE DESCRIPTION OF HOW TO LOCATE THIS PROPERTY.
PROPOSED PROJECT, 15' X 25' BOAT RAMP AT OLD BOAT HOUSE SITE.
FOR A PIER, CHECK ONE OF THE FOLLOWING:
ACCESS.
I WISH TO WAIVE THE 15' MINIMUM SETBACK FROM MY RIPARIAN
I DO NOT WISH TO WAIVE THE 15' MINIMUM SETBACK REQUIREMENT
PROJECT - 15' X 25' BOAT RAMP AT OLD BOAT HOUSE SITE.
PRINTED NAME J A ME DATE y 21- s
SIGNATURE

PAMLICO COUNTY BUILDING INSPECTIONS BAYBORO, NC
ADJACENT RIPARIAN PROPERTY OWNERS STATEMENT EPN#
I HEREBY CERTIFY THAT I OWN PROPERTY ADJACENT TO
MR. LEE BOUNDS ON SMITH CREEK
NAME OF LANDOWNER PROPOSING DEVELOPMENT BODY OF WATE
NEAR ORIENTAL LOT # OF
BLACKWELL PT. TAX PARCEL # 382-43
SUBDIVISION, IF APPLICABLE
OFF SR 1317 COMPLETE DESCRIPTION OF HOW TO LOCATE THIS PROPERTY.
PROPOSED PROJECT, 15' X 25' BOAT RAMP AT OLD BOAT HOUSE SITE.
FOR A PIER, CHECK ONE OF THE FOLLOWING:
ACCESS.
I WISH TO WAIVE THE 15' MINIMUM SETBACK FROM MY RIPARIAN
I DO NOT WISH TO WAIVE THE 15' MINIMUM SETBACK REQUIREMENT
�rrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrtrrrrrrrrrrrrrr■
PROJECT - 15' X 25' BOAT RAMP AT OLD BOAT H OUSE SITE.
PRINTED NAME J CA-�-k 1� 0 U ��C DATE Li ) 3 - 9 8
SIGNATURE