17041_FNIK, WILLIAM AND MAIJA LISA_19970402

C GENERAL
AND DREDGE AND FILL
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 1
Applicant Name1 Phone Number_
Address
City ����_ +��, l�.,,i State
Project Locafion (County, State Road, Water Body, etc.) y36
Type of Project Activity
Zip
PROJECT DESCRIPTION I SKETCH (SCALE:
Pier (dock) length
Groin length
number
Bulkhead length
f
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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.
,ors
applicant's signature
permit officer's signature
' 91
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.

DAVID RUSH CONSTRUCTION 3207
P O BOX 190 66-30/531
ORIENTAL, NC 28571
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ORDER F A. A I Q 50`
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1000 FIRST CITIZENS —
BANK
AN Fhtl-Clllxe Bank a Trull Canpany
�ru,a_ Odenlal, NC 16571
4 /xIol70 G
FOR )��/ J f1`Y L S f' Z
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3 267

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PO $ a 776' �PAMLICO COUNTY BUILDING INSPECTIONS BAYBORO, N.G. 2 515
[phone]
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(A �er this form is completed by the landowner proposing the projec ,
a iven to his/her adjacent landowners for their consent an
si ture41�1,.rhe forms are then returned, along with a building pla
anc4'other applicable required information, to the Building Inspecti ns,
Of rice fo-;Ibuilding permit application/processing.)
ApJACENT RIPARIAN PROPERTY OWNER STATEMENT EPN#
I hereby certify that I own property adjacen to
Wi 11,iam and Maija-Liisa Fink Is on Bay River
Nam' of 1 ndowner pr000sing development body of :cater
in h ear F grence Lot# 1 , 2 of Bay Shores Estates
community Subdivision, if applicable
J043-3-1 2 T Parce ��_ off SR_1324 Complete description of how to
lo� Ite thI's� property Off HWY 55 turn E. on SR1324. Go 3.5 i.
an !turnlleft intolBay Shores Estates. Last lot on right.
Thg propoi ed project,,' a Wood bulkhead and the location has been
de ribedito me as shown in the drawing below and I have no objections
to he 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.
Dr 4 the proposed structure in the space provided below. List the Eize
of �he structure and measured distances from the adjacent property
lira s, other structures on the property; and the road, water, etc.
61
Printed Name
I
� air -Z,
Da�QZZ-4Signature
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L o-� 3

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PO B a'770' 'PAMLICO COUNTY BUILDING INSPECTIONS BAYBORO, N.C. 2 515
[phone]
(A er t Iis form is completed by the landowner proposing the projec ,
a y is iven to his/her adjacent landowners for their consent an
si ture �1I The forn�s are then returned, along with a building pla
anc}'other applicable required information, to the Building Inspecti ns'
Office fo-;Ibuilding permit application/processing.)
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT EPN#
I
jI hereby certify that I own property adjacenL to
Wi iam rid Maija-Liisa Fink 's on Bay River
Nat of landowner proposing development body of water
in ear F �rence Lot# 1 , 2 of Bay Shores Estates
community Subdivision, if applicable
Tax Farce # J043-3-1 , 2 off SR 1 324
Complete description of how to
to to thIi s, property
Off HWY 55 turn E. on SR1324. Go 3.5 i.
ari !turn1jeft into!Bay Shores Estates. Last lot on right.
Th proposed project,; a Wood bulkhead and the location has been
del ribedito me as shpwn in the drawing below and I have no objections
to he proposal.
FOR A PIER, CHECK ONE OF THE FOLLOWING:
I wish to waive the 15, minimum setback from my riparian access
1 I DO NOT wish to waive the 15, minimum setback requirement.
Dry the proposed structure in the space provided below. List the ize
of the structure and measured distances from the adjacent property
li a,'s, other structures on the property; and the road, water, etc.
�f I
•I
Printed Name
ii' ,rn S Dae Signature