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Home My WebLink About21092_NICKLAS, RAYMOND_19981124�••<.--�;.�..-�-,.se-. :.x-,--.- .-e-:�.x,.�'-+9-.-,-^ram-�:,�-:r •sT--r..-�+_-�.-+rvP..�-�.: R...�.-�..+-�-..�. �. �..---�....:.. -�.. ._ .... _ CAMA AND DREDGE AND FILL M 021092 GENERAL 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 -%-r•. Phone Number Address C.." �, ^?✓ ✓^rr. �f� _ City State Zip Project Location (County, State Road, Water Body, etc.) Type of Project Activity R • I Z) F , . PROJECT DESCRIPTION I SKETCH ; Pier (dock) lengthNli Groin length r. number Bulkhead length max. distance offshore Basin, channel dimensions cubic yards Boat ramp dimensions Other !i'•'� `, i L w 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. In issuing this permit the State of North Carolina certifies that this project is consistent with the North Carolina Coastal Management Program. 03 F7. (SCALE applicant-s signature permit officer's signature issuing date expiration date attachments Cr) 4 • P00 application fee 2430 FOLEY & FOLEY CONTRACTORS, INC. 1810 OLD AIRPORT RD. PH. 919-636-2515 P.O. BOX 3482 NEW BERN, N C 28564 PAY TO THE ORDER OF. Y,&TRIANGLE AN K.,nNew BmmcNC 28560 FOR 11' 000 243011' ':05311185 2l:093 L000 L60 66-1185/531 DATE $ -50, 0O/ + DOLLARS !/M- 'IA NOV 09 POBOa 776 JAMLICO COUNTY BUILDING INSPECTIONS BAYBORO, N.C. 23SIS (919) 745-3861 (After this form is completed by the landowner proposing the project, a copy is given to his/her adjacent landowners for their consent and signatures. The forms are then returned, along with a building plan and other applicable required information, to Te Building Inspections' Office.for building permit application/processing.) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT EPNO I hereby certify that 1 own property adjacent to %%`� 0 Is on Dilera C'r21�Fs k Name of landowner proposing development body of water in/nea m nity J Lotli� of �>>ra.7CRg:a_kc 'Z_ r r cotomuity Subdivision, if applicable Tax parcel 0 off SR1 Complete description of how to locate this property:_1414n, ►anr F �,;� �rz�6cit -Tc o�riNTi i �T iX The proposed project, a o k i -# and the location has been described tq me as shown in the drawing below and I have no objections to the proi3osal. FOR A PIER, CHECK ONE OF THE FOLLOWING: �i wish to waive the 15, minimum setback from my riparian access. DO NOT wish to waive the 15' minimum setback re uirem �F+1�1i�iik,�n,t�*,►�*,r*,►***n��**********,►*+►��r*****+►��r*#*�*a**� s+►t,�*#*,►,�,► DrAV the proposed structure in the space provided below. List the size ot'the'sttucture and measured distances from the adjacent property 110s+.other structures on the property, and the road, water, etc. �.�rG`7> Date �//Signature POBOX 776 JAMLICO COUNTY BUILDING 1N!iPECTION3 BAYBORO, N.C. 23515 (919) 745-3861 (After this form is completed by the landowner proposing the project, a copy is given to his/her adjacent landowners for their consent and signatures. The forms are then returned, along with a building plan and other applicable required information, to Ye Building Inspections' office.for building permit application/processing.) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT EPNO i hereby certify that I own property adjacent to k1 vu 14. 13 FIs on A9wa C12 k Name of landowner proposing development body of water in/neaLotIP of I �� a,> �v�-ric ?I S4 community Subdivision, if applicable Tax Parcel SR 3j . Complete description of how t(, locate this property: 1k1411 _cans ._ �=,��„ ►lriwa6o�t —Te �R6..)%, di a�T' 11_) A Sit l O Wfi,- _ �JK W da Q? E0 A(.w.T • r ) • / T The proposed project, a ok i 3e,►'T't;�T- and the location has been described to, me as shown in the drawing below and I have no objections to the prolSosal. FOR A PIER, CHECK ONE OF THE FOLLOWING: i wish to waive the 15, minimum setback from my riparian access. 1 DO NOT wish to waive the 15, minimum setback requirement. Draw the proposed structure in the space provided below. List the size 6f the ttructure and measured distances from the adjacent property lines,'other structures on the property, and the road, water, etc. w CW(f� %�. Date I ` 9 d' gi gnatur -- FROGS : MATTHEWS SURVEYING PHONE N0. ' +637 7070 Nov, 16 1999 10:39AM P01 MATTHEWS &. BLIZZARD SURVEYING, PLLC deg star Lend"$urveyors —_ `""—rO5-W n ergreon 10 November 16, Mg To Whom It May Conn; I have nvuwed and oaloalated the dletattoe wxoas Dawson Crook at lot 12, Dawson Bluff Subdivision. The distance oalcWhOd,out to be IS$' Mac BIl"IRri,A � CA�p''%, SEAL "