16152_BAZEE, WILLIAM D_19970108

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Applicant Name
Address _:%
CAMA AND DREDGE AND FILL
GENERAL
PERMIT
c a 016152..E
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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 ,%✓;//
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Project Location (County, State Road, Water Body, etc.) %i?</'/rr le,
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Type of Project Activity!
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PROJECT DESCRIPTION
SKETCH
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Pier (dock) length Y�
Groin length
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Bulkhead length
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max. distance offshore
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Basin, channel dimensions
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cubic yards
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Boat ramp dimensions
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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.
r ` applicant's signdture
permit officer's signature
issuing date expiration date
attachments 6;2hN. /a-0cl
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 SIMPSON CONSTRUCTION CO. INC.
11765
800 BROAD ST.
P. O. BOX 590
ORIENTAL, NC 28571
66-301531
G
PAY
TOTHE
ORDER OF (� /mil
DOLLARS
eFIRST CITIZENS -
i1 A 1�T1I Flnl-C ro, N Bank ! irwt Company
�t�L�p EayDoro, NC 1E515
FOR 6� 6/6
II'000 11, 7 6 511' i:0 5 3 L00 300':4 7
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PAMLICO COUNTY BUILDING INSPECTIONS BAYBORO, N.C.
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT EPNO
I hereby certify that I own property adjacent,to
's on
Name of landowner propo&ing development
(,R e e- r)s k 'near e.A/ rAL.
body of water community
Lotit13 *1 of Good W i n1 d s
Subdivision, if applicable
Tax Parcel = 0 9z--/9-/3 off SR / 30 Complete
�9-/_y
description of how to locate this property:
f e T / 3 A N'IQerA;W W J uI x-.L
L o T 13
The proposed project, a 1- 0 T /4 100 0 o C K , and the
location has been described to me as shown in the drawina
below and I have no objections to the proposal.
S E E t9 7 7*4 " dk9w;A)
FOR A PIER, CHECK ONE OF THE FOLLOWING:
I wish to waive the 15' minimum setback from my
riparian
' !� I DONOOT �h to waive the 15' minimum setback
requirement-:--_!
Draw the proposed structure in the space provided below.
List the size of the structure and measured diFtances from
the.adjacent property lines, other structures on the
property, and the road, water, etc.
Printed Name' �"� -<<� `� Date
Signature �_'u / �n�_ <1 12L L
In
10

PAMLICO COUNTY BUILDING INSPECTIONS BAYBORO, N.C.
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT EPN#
I hereby certify that I own property adjacent,,to
�}NAI LE R, G-U)Altgl )/ I on
Name of landowner propo ing development
T U e e- Ns n /i Of- K 'near 0 1? P-A/ %SAL.
cL
body of water community
Lot#137k/ of Cs-DOd`' U%/A)as
Q�Subdivision, if applicable
Tax Parcel # = 0 9X -19-/,3 off SR Complete
O 9,2- ) 9- i4
description of how to locate this property:
Ld 7` / 3 1; fJ- ReT.4;0J 'J2 ltl'A L L
Lo7 13 - Ii" TJ-d
The proposed project, a 1-0 ?' 14 - 144 / A O C. K : id the
location has been described to me as showxi in the drawing
below and I have no objections to the proposal.
SEE t97 4 " dRAWiN9
FOR A PIER, CHECK ONE OF THE FOLLOWING:
I wish to waive the 15' minimum setback from my
riparian access.
I DONOT 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.
T 76 C fi f W19 tz)
Printed Name C Rc9Sley A)13 e ��
Signature
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