23123_ANDREWS JR, CLAYTON C_19990715

Row—
CAMA AND DREDGE AND FILL
GENERAL N? 23123 -- (-
PERM 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 15A NCAC
Applicant Name Phone Number
Address
City State Zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity Ls) t
PROJECT DESCRIPTION SKETCH (SCALE:
Pier(dock)length i
Groin length�Ull-�iif I .
numberBulkhead length
length 7: , �+ .\t j rs t .t 17)f•,_ =��.J`
max. distance offshore I
Basin, channel dimensions
cubic yards r ,
Boat ramp dimensions
Other y; KJ__XZ
µ. Tz- . t
I nls permIL IS SU UJ CL,L LU UUll,Ni, aila. vr,
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.
attachments
application fee
issuing date
applicant's signature
permit officer's signature
expiration date

REMITTANCE ADVICE
JESSE B. CAHOON
1916 S. GLENBURNIE RD., STE. 9
NEW BERN, NC 28562
PH. [phone]
NCDL 3391473
PAY �VJO
31
Y
nlll I AQC
DATE
TO THE ORDER OF
DESCRIPTION
CHECK NO.
&
66-152
531
1278
CHECK
AMOUNT
o—
4 Qlx) s Ar
C �r djo-3
- ARO� WACHOVIA BANK, NA
BAYBORO,NC
............. ....... •....•....... ... _. 2139211-0
11'00127811' i:OS3LOIS291: 0786
"' - ""'"" • •'-^••^• • • • ^•,.• • ••SECURITY FEATURES: MICRO PRINT BORDERS - COLORED BRICK PATTERN . WATERMARK 8 CARBON STRIP ON REVERSE SIDE - MISSING FEATURE INDICATES ACOPY+--+^��+••�+•-••�+.•�••u••-+--

Pamlico County Building Inspections
P.O. Box 7?6
Bayboro, N.C. 29515
(919)-745-3E61
I hereby certify that I own property adjacent to C J-4 V Yk>Al d : ��,A,I—"y' S, s
Name of landowner proposing development
s, ,t X7 may'.
on��_> in/nt:ar Lot* 1 7 of
Community
Subdivision, if applicable
Tax Parcel # off SR
Complete description of how to locate this property �Y7j^
This proposed project, a�it ��> '� J-) r!��1�a'Ae location has been described to me as
shown in the drawing below and l have no objections to the proposal.
Draw the proposed structure in the space provided below. List the size of the structure and
measured distances from the adjacent property lines, other structLires on the property, and the
road, water, etc
845ao®ao�o�e 1J,
J.
a
a
a
Alter this form is completed by the landowner proposing the project, a copy Ls given to the adjacent landowsens for
their consent and sipatures. the forms are then returned. along with a building plan and otber appix:sble required
information to the Building Inspections Office for building permit applicatton/processing.
Signature
i

Complete description of how to locate this property
ri rU
1'kus proposed project, a �l�o�' 4 : an t e location has been described to me as
shown in the drawing below and I have no objections to the proposal.
Lo cl
Pamlico County Building Inspections
P.O. Bo: 776
Bayboro, N.C. 28515
(919)-74S-3961
Adiacent inarian Property Owner Statement Epn#
I hereby certify that I own property adjacent to C 1 Z3 A� G ' /`1/1(( 'Y Js
Name of landowner proposing development
on 5 �� � ii %nea of#Y-ZYof
Community
Subdivision, if applicable
Tax Parcel # off SR C)V'
/. J 1�JGt,cv..�G l� L r �-• L- � C !t C/4,
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
r Qd orator etc
a
rifler Ibis form is coiupletod by the landowner propo-iing the project, a copy is given to the adjacent landowsm for
their consent and signaturca. 1-he forms am then returuod, along with a building plan tud other spplicsble rtsquuvd
inform,snm to the Building Inspections Office for building permit applicatioa/processing.
Signature_ Date _
G�