19808_LEE, SKIP_19980416

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CAMA AND DREDGE AND FILL 6
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U C I V CICFiL
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 2;2 i i'
r
City r.. , J1, State ' Zip
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION I SKETCH
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offs
h re _mot
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other
34
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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.
(SCALE:
l / applicant's signature
j permit officer's signature
/ ge
issuing date
attachments �/?+�• /����
expiration date
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal application fee
Management Program.

HARVEY M. LEE 111 NCDL 1666207
CAROL H. LEE NCDL 2089007
9217 HORNIGOLD AVE 249-0750
ORIENTAL, NO 28571
Pay to the
Order of
4o�� CITIZENS
13AD A First-CitlzaIS Bank d '" Company
K New Bem. N.C. 26663
For
1:0 5 3 L00 3001: L 1180694
02/84
66-30/531 10289
Date
" Dollars
V.

ADJACENT RIPARIAN PtOpERTY OWNER STATEMENT
certify that I own property adjacenttoto
,I hereby ropert located at '&
P in ( county) c�
(water body)
` p,t he Is
��
described to me as own below the dento this
He has I have no objections
proposing in that location a
proposal.
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De
scription and or drawing of proposed development:
it gnature C (U<- 3Tkv-
nnabar

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ADJACENT RIPARIAN PROPERTY OWNER STATFmNT
I hereby certify that I own property adjacent to � h`e y a*,/
property located at___ L o vr- # LF jgN C Ca n e e-h 45q e f ; Ad .
(lot, block, roa , etc.
on SM; +% Cre ��s_ in ljh: � a i a► 1 i Ce
(body of water) (town)
North Carolina in Pamlico County. The proposal has been described to me as shown below;
the development, a pjrer/bulkhead_ tructure, and the proposed location, and I have no
objections to the proposal. I understand that if the a development is pr pier, it mast
be set back a minimum distance of 15 feet from my area of riparian access unless waived
by me. I do/do not wish to waive that setback requirement.
(circle one)
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Description and/or drawing of proposed development: (to be filled in by individual
proposing development.) INDICATE THE SIZE AND LOCATION OF THE STRUCTURE AND THE
DZST_ANCE BETWEEN EACH PROPERTY .LINE AND THE WATER..
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(Original must be retained in the Inspection Department)
Signar&re
Name (Plea e Print)