18798_MILLER, JAMES R_19971119

O
CAMA AND DREDGE AND FILL
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 �'' Phone Number
S
Address
City ko,
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
State
SKETCH
ly re
r �CI'r^r'i_ Ci.�.
6' 197
r / % F
►�U
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.
I
Zip
(SCALE: N' -_ r )
'le
A',
applicant's applicant's signature
permit officer's signature
J�r 6—f
/ / issuing date / l % expiration date
attachments • Z Z&
application fee�`�"'

�I��XTRIANGLE NEW BERN, NC 28560 1244
s FOLEY & FOLEY CONTRACTORS, INC. BANK 66-1185/531
P O BOX 3482 _
NEW BERN, NC 28564
11-1A-�7
3
PAY TO THE
ORDEROF D-E-H-N-R-
-S 50.00
FIFTY DOLLARS 00/100---------------------------- DOLLARS
R J
MEMOMILLER JOB/DOCK G g,7 4 g U
III DO L 20,11' 1:053 L L L135 21:093 L000 160110
SECURITY FEATURES: MICRO PRINT TOP & BOTTOM BORDERS - COLORED PATTERN - ARTIFICIAL WATERMARK ON REVERSE SIDE - MISSING FEATURE INDICATES A COPY

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-POBOX 776..,PAMLICO COUNTY BUILDING INSPECTIONS BAVBORO TC 28515 - ,
. 919 . ... 745-38
After this form is completed b the landowner proposing the project, a co is iven[1 his/her
� P Y P P g P j PY �
adjacent landowners for their consent.and signatures. The forms are then returned, -along with a '
building plan and other applicable required -information, to the Building Inspectioons'Ofpice for
t,�il�ing Ypa-mit apPlic;
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT''EPN# `
y
I hereby certify that I own property adjacent to JAMES R . MILLERS 's
on MORRIS CREEK in/near OREINTAL Lot # 8
Of SAIL HAVEN SUB Tax Parcel# J081-22-8 off SR 1360
Complete description of how to locate this property HWY 55 TO SR 1360
TURN RIGHT IN SAIL HAVEN SUB FRIST LEFT END OF ROAD
The proposed project, a DOCK and the location has been described to
me as shown in the drawing below and I have no objections to the proposal.
FORA A PIER, CHECK ONE OF TILE 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.
�0 X
Date i"3 0 17 Signature
i

Ti
: • .F ^
POBOX 776 .,PAMLICO COUNTY BiJILD J
, ING INSPECTIONS ,' •BA�BORO
.
745.3861
(After this form is completed by the landowner proposing the project, a copy is giverito his/her.
adjacent landowners for their consent,and signatures. The forms are then returned, -along with a
plan and other applicable re9dired information,to the BuildingIns ectroons �OfI'ice for
p
,..building
building permit application/processing.) .
'ADJACENT
RIPARIAN PROPERTY OWNER STATEMENT;`SEPI4#'
I hereby certify that I own property adjacent to _ JAMES R . MILLER:'S
-on MORRIS CREEK in/near OREINTAL Lpt# $
Of SAIL HAVEN SUB, Tax Parcel # J081-22-8 off SR 1360 '
T
Complete description of how to locate this property_ HwY 55 To sR 1360
_TURN RIGHT IN SAIL HAVEN SUB. FRIST fi' END OF ROAD
n�yhi .
The proposed project, a DOCK , and the location has been described to
me as shown in the drawing below and I have no objections to the proposal.
FORA A PIER, CItECK ONE OF TI1E 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.
fit
Date�`I7 Signature6a2g::���

•.POBOX 776_ :PAMLICO COUNTY MILD
1NG INSPECTIONS „ .BA�BOR6' 16 28515
.. .. ... 745-38 74
.
.After this formlandowner_ _- ��'�� - • is com� feted b the landproject,
.'.. ' -t OWn -i er r o i
P Y os n the ro'e
p p g p � ct, a copy is given -to Hs/her
adjacent landowners for their consent -and signatures. ,The forms are then returned,►along with a
building plan and other applicable requrredinformation, to the Building Inspectioons' Office for
pe' nvt
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT ~
' EP 1�# '
I hereby certify that I own property adjacent to _ JAMRs R . MILLEI2Y 'S
on MORRIS CREEK in/near OREINTAL Lot# 8
of SAIL HAVEN SUB Tax Parcel# J081-22-8 Off SR 1360
Complete description of how to locate this property_ HWY 55 To SR 1360
_TURN RIGHT IN SAIL HAVEN SUB FRIST LEFT END OF ROAD
The proposed project, a DOCK and the location has been described to
me as shown in the drawing below and I have no objections to the proposal.
FORA A PIER, CHECK ONE OF TI iE 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.
NZ 47.5
Date 0 �7 Signature.

.POBOX 776,.,PAMLICO COUNTY_BUILDING INSPECTIONS '-'BORO
�J*
- (919) 74S•3861.:acs`��r�.
(After this form is completed by the landowner proposing the project, a copy is given ni 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 the Building InspectioonsVOffice for .
building permit application/processing).
'ADJACENT RIPARIAN PROPER ; i RPX " PROPERTY OWNER STATEMENTi`.;EPI�#
I hereby certify that I own property adjacent to _ JAMES R . MILLER' 1 'S
-on, MORRIS CREEK in/near OREINTAL Lot if 8
Of SAIL HAVEN SUB, Tax Parcel# JOBI-22-8 offSR 136t) .,.
Complete description of how to locate this property 1twY 55 TO sR 136t)
TURN RIGHT IN SAIL HAVEN SUB. FRIST I&ff END OF ROAD
The proposed project, a DOCK , and the location has been described to
me as shown in the drawing below and I have no objections to the proposal.
FORA A PIER, CHECK ONE OF ME 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.
-- � yet � �o
.I
Date %4 - 9- 9 7 Signature