17079_HARDISON JR, J E_19970422

• I/'�/j•r; L/ICJ � � • .iI
F
CAMA AND DREDGE AND FILL
GENERAL
rW
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 J t x,- -/ `,`n 1,2r Phone Number
Address '0 F_,u t 77
City �rr,,;.�,,.�� State _A)C_ zip
Project Location (County, State Road, Water Body, etc.) ft%a,1 /`ru r r
Type of Project Activityv �� s'�r°o'.i� 5�.�.� y �'``� �r:.,"�y., r ✓
/L ',• ri rY /,'r r n h.J '�?vs.
PROJECT DESCRIPTION I SKETCH
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
4e"!.r h
-`f u-ril' • 111,_ 1
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.
1ref O T Q V__ 1;
Y t 2-`
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.
(SCALE:/ }
C !' L
A Vale
40
. rf
eyl�.:n,-,t �,?.,•ii 4��
•}jam' 1
i
N +
da/ r, /^1 1.
applicant's signature
permit officer's signature
issuing date expiration date
attachments n ;W. /2yU
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
application fee

r
9
g o
k.
POBbX 776 PAKLIC0 COUNTY BUILDING INSPECTIONS BAYBORO, N.C. 28515
[phone]
(A�ter this form is completed by the landowner proposing.the projec ,
a copy isgiven to his/her adjacent landowners for their consent an
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.)
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT EPNO
I hereby certify that I own property adjacent to
S u ha, S 2 Is on BA y MZ I J F-
�c
Name of landowner proposing development -body of water
in/near FAyr3°tQ0 Lot# of
community Subdivision, if applicable
Tax Parcel 0 off SR Complete description of how to
locate this property: / 03 C44r,4R
The proposed project, a DoA-r OOUSr-Abt1'r1a; 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, CHECE, 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 rnad. water. - etc_
a
y
2 � �
k p �
,u Q
y
h 7
X
� O
S
'printed Name L c �G JINN �p�) Date `,� I �� tore Signa �,

POBOX 776 -PAMLICO COUNTY BUILDING INSPECTIONS BAYBORO, N.C. 28515
` [phone]
(After this form is completed by the landowner proposing the projec ,
a copy is given to his/her adjacent landowners for their consent an
signatures. The forms are then returned, along with a building pl
and other applicable required information, to the Building Inspectidns'
Office for building permit application/processing.)
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT EPNO
I hereby certify that I own property adjacent to
Is on
Name of landowner proposing development body of water
in/nearn'l�`'�'° Loth of
community Subdivision, if applicable
Tax Parcel 0
off SR Complete description of how to
locate this property:
1 U?
C-PrAL
2
The proposed project, a V oa- L' -,u �r- ; 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, CHECKS 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.
w
J �
, K
1�Y,91•
7 M t i
6 0 �
' L -
I
'Printed Name }
�--� c.�•, ,S c /77,.ti � .EI.Z DSte6 -I -C% Signature

State of North Carolina
Department of Environment,
Health and Natural Resources • •
Division of Coastal Management
James B. Hunt, Jr., Governor y ID E H N
Jonathan B. Howes, Secretar
Roger N. Schecter, Director
DATE: '6 - a?, , 1996
Ri.•�'VWWW
tea, •
Attached is a Certificate of Exemption From Requiring a CAMA Permit. In order to
validate this permit, please sign all three (3) copies as indicated. Retain the yellow copy and
the attached regulation (7K .0203) for your files and return the blue and green signed copies to
us in the enclosed, self-addressed envelope.
Your early attention to this matter would be appreciated.
Sincerely,
Field Representative
/dh
Enclosures
P.O. Box 769, 3441 Arende!I St., Morehead City, North Carolina 28557 Courier f11-12-09
Te!eohone 919-726-7021 FAX [phone]
An Equcl Opportunity Affrmctive Action Employer 50% recycled/ 10% post -consumer peper

4--P -7 fti U
CERTIFICATION OF EXEMPTION
FROM REQUIRING A CAMA PERMIT S /d I't- --'
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 15 NCAC Subchapter 7K .0203. _� a G - L, j q�
Applicant N me /9 COC C Phone Number — /
Address � a A00
City S CL0 r F, j, a o State Zip
Project Locatio (County, State Road, Water Body, etc.) ©�►^ S /D ft ,� r. �,f o I Lc a -r
Lc_�Lt­- Oa � 8111n17 a v 4-.-,
The proposed project to be located and constructed as described This certification of exemption from requiring a CAMA permit is
above is hereby certified as exempt from the CAMA permit re- valid for 90 days from the date of issuance. Following expiration,
quirement pursuant to 15 NCAC 7K .0203. This exemption to a re-examination of the project and project site may be necessary
CAMA permit requirements does not alleviate the necessity of to continue this certification.
your obtaining any other State, Federal, or Local authorization.
sent of a CAMA official under the mistaken assumption that the
development is exempted, will be in violation of the CAMA if there
is a subsequent determination that a permit was required for the
development.
The applicant certifies by signing this exemption that (1) the ap-
plicant has read and will abide by the conditions of this exemp-
tion, and (2) a written statement has been obtained from adjacent
landowners certifying that they have no objections to the
proposed work.
C AppI' , 7 e 6�
'
CAMA Official's signature
o? 0- 9 _
Issuing date
7-31,cf 7
Expiration date
Attachment: 15 North Carolina Administrative Code 7K .0203