HomeMy WebLinkAbout19985_DAGUTIS, PETER M._19980806..r A11— :.
CAMA AND DREDGE AND FILL
GENERAL
,PERMIT
-9985----
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 NamePhone 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
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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(SCALE: yo fit,
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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
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee
Management Program.
CHARLES T. JENNINGS
= DOROTHY L. JENNINGS ---�
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588 CREEK PLACE ROAD 919-249-0563 ---
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_--7--66-1521531-CC
ARAPAHOE, NC 28510
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197 0
-Pay To The
Order Of . _ -
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cta
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ollars
— ac ovia Bank, N.A.
CBayboro, NC:28515
Memo--
�1:0 5 3 10 l 5 291: 0 78 2
2006 30u' 60 30
Pamlico County Building Inspections
P.O. Boa 776
Bayboro, N.C. 28515
(919)-745-3861
Adjacent Riparian Property Owner Statement Epn#
I hereby certify that I own property adjacent to '?Erg- 0 ScHac,BU& QA6, vr-► S `s
Name of landowner proposing development
on J 6&k Q 6 !R d in/near Lot# 1 of V • W • cm e'-9 e-c-, (✓
Community Subdivision, if applicable
Tax Parcel # 219 Z.1 R4 off SR t3o'L .
Complete description of how to locate this property:
This proposed project, a ?Ln-.,K 1+GAD , 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:
I wish to waive the 15' 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.
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After this form is completed by the landowner proposing the project, a copy is given to the adjacent landowners for their consent and
signatures. The forms are then returned, along with a building plan and other applicable required information, to the Building
Inspections Office for building permit application/processing.
11
Signatur Date 7
995 08:05 919-249-0600
ALLAN
Pamlico County Building Inspections
P.O. Box 776
Bayboro, N.C. 28515
(919)-745-3861
Adjacent Riparian PropeM Owner Statement Epn#
I hereby certify that I own property adjacent to? 4 serjacRm,rr DAffy ur7 s 's
Name of landowner proposing development
on -J6fJ Q L a. O in/ztear Lot#! of 0. c.,0 . CO e 9 (&*� (�
Community Subdivision, if applicable
Tax Parcel #�Z I Q �`C off SR t30'L .
ComplM—Le description of how to locate this property:
This proposed project, a J�ut-w V+49rAO , 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:
I wish to waive the 15' 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,
jj�Cy�1TI S
.ci:vP aSe�i
Aft this form is eomplowd by the landowner proposing the project, a copy is given to the adjacent landowners for their coa Kmt and
sigvat m' The forma are then tetttrnod, along with a bung plan and vthcr applicablc required information, to the Bu2ding
lnspcesrons 011 - for building permit appiieationiproceasing_
Signature Da,,— 1/3
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VICINITY MAP
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Re7'ERfWr ; A MAP OR 'u W. COWr1 L " sulfOMHO X
RECORDED NV ~ BOOK lb MAGE 77
OF rl,r AM41CO COL.WrY MW Mv.
WED ON FLOOD NV$. MATT ASP Nt TO/9F-G.SI_Q-l�
THS PROPERTY lS LOCArrD kV AN " "'W4
AND IS W1THN TW I00 YEAR FLO01 4=44S N Y•
IMS .SURVEY lS Of AN EX/STJNO Ail" El..
RIPARIAN RIGHTS HAVE NOT WPM DETERMINED
OR CONS/pE'R,ED BY r4S SURVEY,
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