21135_OLSON, ALLEN SR_19990114

0
CAMA AND DREDGE AND FILL 1
GENERAL 0 2105
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 Phone Number
Address
City State tJC✓ Zip 7j> Co
Project Location (Country, State Road, Water Body, etc.) -:_v, tN y
Type of Project Activity
PROJECT DESCRIPTION I SKETCH AE
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
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(SCALE: )
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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.
U :E:D
NtA l,,
permit officer's signature
ct,,
issuing date expiration date
attachments ?7 H
In issuing this permit the State of North Carolina certifies that 'I�� Ctl NO. � I 1
this project is consistent with the North Carolina Coastal application fee
Management Program.

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CLASSIC

ADJACENT RIPARLAN PROPERTY OWNER STATE ENT
I hereby certify that I own property adjacent to
Allen Olson
(Name of Property Owner)
7s
property located at Lot #4, in Bav Shores Estates off SR 1324
(Lot, Block, Road, etc.)
on Bav River , in Florence. Pamlico Countv N.C.
(Waterbody) (Town and/or County)
He has described to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
DESCRIPTION AIND/OR DRA)NTiG OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
Totot..' �i O
T�Ts iNTo
FosTE2.S gu�KAEAfl
OLsDA3 P ADA
Signa r1~r�
(J. 1110-4,V 1 T !moo
Print or Type Name
_ 7 y 5` S / 7 S-
Telephone Number
Date:
0
�C _ �� 5 J i 7 �

ADJACENT RIPARIAN PROPERTY O-W-IV-fR STATEMENT
I hereby certify that I own property adjacent to Allen Olson ,s
(Name of Property Owner)
property located at Lot #4, in Bav Shores Estates off SR 1324
(Lot, Block, Road, etc.)
on Bay River , in Florence, Pamlico County , N.C.
(Waterbody) (Town and/or County)
He has described to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal,
,x;o5vEk 1s
)*Of
Ta y�,1E'c s
DESCRIPTION AISD/OR DRAWZTVG OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
r
Print or ype Name
Telephone Nu er
Date: / � ��