21145_COWAN, TOMMY_19981229

CAMA AND DREDGE AND FILL,:
GENERAL 02 14 _�
o
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
AAAra
City
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
SKETCH
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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.
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
State
Phone Number
Zip
(SCALE:
�t
a�
17
applicant's signature
permit officer's signature
issuing date
attachments
' .00 ?
application fee
expiration date

2526
FOLEY & FOLEY CONTRACTORS, INC.
PH. 252-636-2515
1810 OLD AIRPORT RD.
P.O. BOX 3482
NEW BERN, NC 28564
PAY
TO THE
ORDER OF.
/�
6-1185/531
DATE /� J9 q& 66
$ Sa. o,,
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1100000 2 5 2611' 1:0 5 3 L L LEIS 21:09 3 L000 011'
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POBOX 776 • PAMLICO COUNTY BUILDING 1N:5VEC1IUN3
[phone]
BAYBORO, N.C. 28515
(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 EPNQ
! hereby certify that I own property adjacent to
t s on
Name of 1 ndowner proposing development 'body of water
in/near �►2�,1t �Lot41 off? divis�ion
community Subif applicable
Tax Parcel 0 off SF I ��
�. Complete description of how tc,
loca(t�e this prope�r"ty:_0� rnVQyJ�,, � �e d
"GX (1��AC fig„ 9& Q (I��2lfe�1 �CL►.�rc
The proposed project, a ��,�'[fin T--��-e� and the location has been
described to. me as shown in the drawing below and I have no objections
to the proposal.
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
of the structure and measured distances from the adjacent property
llr.as, other structures on the property, and the road,

POBOX 776
PAMLICO COUNTY BUILDING INSPECTIONS
[phone]
BAYBORO, N.C. 28515
(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 t�e Building inspections,
Office.for building permit application/processing.)
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT EPNO
i hereby certify that I own property adjacent to
Is on u Ere
Name of Ilandowner
Tppr�oposing development `body of water
in/near —1 1 1 Lot# of
community Subdivision, if applicable
Tax Parcel 0 off SR 1_ �2 y Complete description of how tc,
locate this property: (2) F;2
c-
The proposed project, a�•�,,, and the location has been
described to me as shown in the drawing below and I have no objections
to the proposal.
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
of the structure and measured distances from the adjacent property
lines, other stiucturFc nn fhc
I