19671_MOORE, JERRY_19980916

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CAMA AND DREDGE AND FILL Aff
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
Address
City State Zip
i
Project Location (County, State Road, Water Body, etc.)
Type of Project Activity
PROJECT DESCRIPTION SKETCH (SCALE:
Pier (dock) length
Groin length c Gd -a.,)� � r �C7� C J
u
number
Bulkhead length
t ft A
max. distance offshore � � 7 /� US
45
ley
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other --
a,�
t u' - -
V �IL
� I
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.
applicant's signature
T,C, 1,1,( - ' I
-
permit officer's signature
issuing date expiration date
attachments C') ( ~ I'2
In issuing this permit the State of North Carolina certifies that i
this project is consistent with the North Carolina Coastal application fee ILI
Management Program.

A
Pamlico County Building Inspections
F.O. Box 776
Bayboro, N.C. 7S515
(919)-745#3861
Epn#
j
adacent o o III-ise s
I hereby certify that I own property development
Name of landowner proposing
' Lot#, of
l i �, �. _�,w, [t Wnear
o Subdivision, if appli�ble,-
Community
Tax Parcel # E L� t -10 -�4 off SKiWI--
Complete description of how to locate this property:
a.�--------- and the location has been described to me as
This proposed project,
shown in the drawing below and I have no objections to the proposal.
For a Pier, check one of the Following:
T ,Msl: to wave the 15' minimum setback from maccess.
y riparian
I do not wish to waive the 15' minimum setback requirement.
t re and
Draw the proposed structure in the space provided below. List the size of the strut u and the
Measured distances from the adjacent property lines, other structures on the property,
road, water, etc.
'�- D4-0
10-.9
Afia this form is ompkted by f018m P �8 ' a °O Win, to d
. JU f0ma at tbm MtW) , along with a burg other aPP
insoectiogis offtoo for b I&S Pam'd VOmbm'Pf00 &
Date, 2 �
,/Signature
��-*1-53
ysf�Rics�t �
oorlaeat and

Pamlico County Building Inspections
P.O. Box 776
Bayboro, N.C. 2g515
(919�745-3861
$pn#!_r____
o0 ( `3
eb I own property adjacent to, - development
I her y Name of landowner proposing
tnlnear T,ot#,. of
a�iaw
on Subdivision, if applicable
Commu6ty
#
Tax Parcel O I - In - 4 off SI�--------
Complete description of how to locate this Property.
This proposed Project,
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 151 minimum setback from my riparizM access.
I do not wish to waive the 15' rrinaimum setback requirement.
proposed structure in the space provided below. List the size of the structured the
e and
�w the gropo other structures on the grogea�ty,
measured distances from the adjacent property 1ine�
road, water, etc.
I
' LOB 3
Loi' �s
end
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Signature �' /� 3/sd

,B BROAD CREEK es-301531 3899
CONSTRUCTION INC
PH 252-249-0523
11 CREEKVIEW COURT Dale I
MERRITT, NC 28556
3 'Pay to the
= Or�of-
FIRST CITIZENS <71
O L ` �I First�Citizons Bank & Trust Company
u 1� Bayboro, N.C. 28515
,Tor 6P# o/ 967/-G ►-P -- -
IMS31003001:0047110226?Lom 03899
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