19818_CUNNINGHAM, TOM_19980416

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CAMA AND DREDGE AND FILL red
GENERAL 9$18,�-
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.) 'e.,?/'
• r�A
Type of Project Activity
Ili F C- f 0
03 FA
PROJECT DESCRIPTION
SKETCH
(SCALE:
Pier (dock) length
Groin length
number
Bulkhead length
f
-
max. distance offshore
Basin, channel dimensions
_OF�s�Ciiu
�OC Z k l i1
cubic yards
f2� � �F �ct k,
j i.:sG lei °1
Boat ramp dimensions
Other
U
120
j
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t{
r
� S4
A
Fu N j'�%
I
4j!
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
issuing date expiration date
attachments d? /%GG
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee
Management Program.

111
DAVID SIMPSON CONSTRUCTION CO. INC.
800 BROAD ST.
P.O. BOX 590
. / �•J ORIENTAL, NC 28571
PAY
TO THE
ORDER OF YY/ .L
0 h
RST CITIZENS <»
BANK", 1-01i11", Benk 8Trust Company
BeyW,o,N..C_.,y2.8515
--
1180 L 26 7 3ii' i:0 S 3 L00 300i:L, 7 L L00 70 gill
12673
66-30/531
471
- - $ So.
DOLLARS
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4

PAMLICO COUNTY BUTT DING INSPECTIONS BAYBORO, NC
ADJACENT RIPARIAN PROPERTY OWNERS STATEMENT EPN#
I HEREBY CERTIFY THAT I OWN PROPERTY ADJACENT TO
MR` T M l �NNIN�HaM _ ON BQY RIVER
NAME OF LANDOWNER PROPOSING DEVELOPMENT 60[)Y OF WATER
NEAR RI NTAL LOT # 13 OF
_BAY H Ba_ TAX PARCEL # K051-21-1
SUBDNISION, IF APPl1CABL E
OFF 5R LUQ COMPL.EfE DESCRIPTIOiJ OF HOW TO LOCATE THIS PROPERTY. ,
PROPOSED PROJECT, 122 LF Of: STtT NE REVETMENT AND ri'HE LOCATION HA.5
BEEN DESCRIBED TO ME AS SHOWN IN THE DRAWING BELOW AND I HAVE NO
OB3ECTIONS TO THE PROPOSAL.
FOR A PIER, CHECK ONE OF THE FOLLOWING:
I WISH TO WAIVE THE 15' MINIMUM SETBACK FROM MY RIPARIAN
I DO NOT WISH TO WAIVE THE 15' MINIMUM SETBACK REQUIREMENT
...........................................................................
PROJECT - INSTAL_L 122 LF OF STONE REVETMENT
.1
PRINTED NAM �G 1� L1- DATE 2 - :x
SIGNATURE -�-"J

s
PAMLICO COUNTY BUILDING INSPECTIONS BAYBORO, NC
ADJACENT RIPARIAN PROPERTY OWNERS STATEMENT EPN#
I HEREBY CERTIFY THAT I OWN PROPERTY ADJACENT TO
MR. TOM CUNNINGHAM ON BAY RIVER
NAME OF LANDOWNER PROPOSING DEVELOPMENT BODY OF WATER
NEAR ORIENTAL _ LOT # 13 OF
BAY SHORES TAX PARCEL # K051-21-13
SUBDIVISION, IF APPLICABLE
OFF SR 1330 COMPLETE DESCRIPTION OF HOW TO LOCATE THIS PROPERTY.
PROPOSED PROJECT, 122 LIF OF STONE REVETMENT AND 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:
ACCESS.
I WISH TO WAIVE THE 15' MINIMUM SETBACK FROM MY RIPARIAN
I DO NOT WISH TO WAIVE THE 15' MINIMUM SETBACK REQUIREMENT
PROJECT - INSTALL 122 LF OF STONE REVETMENT
PRINTED NAME Ci�� /Yt�d� ail--V DATE
SIGNATUREe,�W)dA� Pg-d2� T