23187_MOLNARD, RON_19990811

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CAMA AND DREDGE AND FILL
GENERAL � ,0 23187--c--
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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 I
Applicant Name �`�-"� �"`-" Phone Number
Address
City State Zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
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PROJECT DESCRIPTION I SKETCH (SCALE:
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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xz�.
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 nip. i I®D
In issuing this permit the State of North Carolina certifies that,�C�
this project is consistent with the North Carolina Coastal application fee
Management Program.

9
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Pasniko County Building Inspections
P.U. Box 776
Brayhoro, N.C. 29.S15
(919}745-3"1
Epn#
I hereby certify that I own property adjacent to Ry/Y/144 ? -Pai;e 1) d1n01- `s
Name of landowner proposing development
on �/2iE�ll�ff� , 4✓r. Wnesr Lodi of
Community Subdivision, if applicable
Tax ParCA k �S�SS�d off SR
Complete description of how to locate this property, oq, e of S
e'A,tVf4,J�,g del 54'V 4 c-Mi (} e . -
TWs proposed project, ► Ll, )ktira l_ , and the location has been described to me as
shown in the drawing below and I have no objections to the proposal
Draw the proposed structure in the space provided below. List the size of the structure and
measured distances ftom the adjacent property lines, other structures on the property, sod the
road, water, etc.
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After this (onn is compieted by tie laadowoer pmp"mtt die prolcct, a copy is Rtwn to the adjacent taodowtaers fa
their cannot ase sipsturce. ncc tarn are thes returned. along Witt a builder plan and other pplictbk ngaeed
Whemo ice to the &tiidma Inspectims Ofte for buLidina permit ■pphcatW"roosssine.
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Signature Au 577-J/1,/ )4;"Oe �5-
Date
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Pattnlico County Building inspections
p.0. Sam 776
Aayboro, N.C. 26519
(9 t 9)-7IS-356l
/Epn#
l hereby certify that I own property adjacent to
Name of landowner pfopot'r% development
on� in/no" LotK of llcsble
Subdivision, if app
Commututy
CT
Tax P cA 3 off SRC-•-.� v � I7�i r�ye
Complete dwnption of how to locate this property'-
(oallor2 - f +d CAM( *-<rrn')��,I
This prop
proposed project. t b and the location has been► described to me as
Shown in cite drawing bs�ow and 1 have no objections to the proposal.
I)r&w the proposed structure in the space provided below List the size of the structure and
tired distances loom the adjacent property lines, other structures on the property, and the
road, watery etc.
Mer Ibis gams omuptaw by for lwdowwr propoxi09 the Pso)004 i coPY is `�vea to tb+ stt�scaa� lac �
urer. TbA forms an
iafa�mltiara io the Bojd�aa taapeC . am rotunAcL a1026 with s buikka6 plea NJ otlwt applicable rrWW
their ooaasat a[was Office for bj--W tn6 permit spplieaticedproo.aiaS•
Huil
signature
P� Date-0-01 —
[)f&ID D 1 XON