19823_CAMP CAROLINE_19980430

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CAMA AND DREDGE AND FIL ro/
GENERAL -a
'a Frr" _ 823 -- (:
PERMIT Al
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 !�
Address
Phone Number_
City State ' Zip
Project Location (County, State Road, Water Body, etc.) % �'�,ff k 12c 2- -
Type of Project Activity 7;, c 7 L� ✓4�
PROJECT DESCRIPTION SKETCH { (SCALE:
Pier (dock) length r�
Groin length
number F
Bulkhead length
max. distance offshore Mows
Basin, channel dimensions
f ff
cubic yards ` � (�'� 1 l � Div{-
610"
Boat ramp dimensions
1
Other
;Unit C/mac
�y .t/ir- o-, 2/90 c i 4—
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
permit officer's signature
30-9s 7_T0_98
issuing date expiration date
attachments owl '1/6, r,)
In issuing this permit the State of North Carolina certifies that ^_ _ Y)
this project is consistent with the North Carolina Coastal application fee -'�} Y �,lnr
Management Program.

MR. & MRS. JOHN W. LATHAM 2613
JDL HIS 638643 HERS 1346707 '/
P O BOX 1474 PH. 522-3875 /� _ 3©— YA-763/531
KINSTON, NC 28503-1474
Ism
Wachovia Bank, N.A.
Kinston, NC 28501 a
For 6p vt 0/98KZ3 -C-
1:053 L076331: 4470 5743 II■ 26 L3

10
Pamlico County Building Inspections
P.O. Boa 776
Bayboro, N.f. 28515
(919)-745-3861
Adjacent Riparian Property Owner Statement Epn#
I hereby certify that I own property adjacent to HRISTIAN CHURCH IN N. C, (DBA�
CAMP CAROLINE Name of landowner proposing development
3398 JANIREO RD.
Community
in/near Lot#_ of
Subdivision, if applicable
Tax Parcel # _ off SR
Complete description of how to locate this property: TOWN�IiTp 5 TANTRED RD
JANIERO COMMUNITY PAMLICO COUNTY
This proposed project, aRULKHEAD-SEA INTAItid the location has been described to me as
shown in the drawing below and I have no objections to the proposal.
For a Pier, check one of the Following:
I wish to waive the 1 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 '
C) _
3
PAC
After this form is completed b} the landowner proposing the project, a coM is given to the adjacent lando,.Nners for their consent and
s'Patures. The forms are then returned along with a building plan and other applicable required information_ to the Buildni2
Inspections Officefor building permit application/processing. `
1
Signatur -7
Date

i
Pamlico County Building Inspectionls
P.O. Box 776
Bayboro, N.F. 28515
(919)-745-3861
Adjacent Riparian Proq&rty Owner Statement Epn#
I he,, y certify that I own property adjacent to HR I S T I Ah' CHURCH IN N.C. (DBA )s
CAMP CA: OLINE Name of landowner proposing development
on 3 3 9 8 JAN I R E O RD.'- in/near Lot, of
Community Subdivision., if applicable
Tax Parcel # off SR
Complete description of how to locate this property: TowN!;HTP 5 .Ta\TTRFO Rn
JANIERO COMMUNITY PAMLICO COUNTY
This proposed project, aRI7LKHEAD-SEA W I.tid the location has been described to me a;
shown in the drawing below and I have no objections to the proposal.
For a Pie-. check one of the FolloNN inc-
I v is' to waive Vi-1 15' minimum setback from my riparian acc es5 .
I do not wish to waive the 15' minimum setback requirement.
L-.aw the proposed structure in the space provided below. List the size of the structure and
measured distances front the adjacent property lines, other structures on the property, and the
road, water, etc.
' ----Kt: N
Af= this fors is completed bY the lan&)%ner proposing the project, a cope is given to the adjacent landoHnens for then cons."-nt and
-%9narrr.: s. The forms are then rctumed, along with a building plm and other applicable requirod information, to the Building
Inspecbrias Office for building permit apphcation#oocssing.
SismaturePt% &I-1 C4 Q S m4,1 Date_�'A"�CA �01 If V
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